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----- - _ _ ,,,, <br /> , <br /> 9:'�.Priebe�M^}62�51 I rl <br /> W,J.Ferm 7 � � V � V - � <br /> CITY OF EVERETT--Wat:er Dept. <br /> Application No_1!.----....,.'........ Date..............._/.r../:::........... 19.�.�.�._� <br /> i , <br /> Install.........1....................inch �dater serv:c� pipe <br /> , - � � <br /> � � �-�� <br /> For _............_.._........._'_._�....._._�:::.......' <br /> _. ..._ ....__....................._....._.. <br /> 1 � :....... ' . c'L.:'�_i, ; _ , , ;.. <br /> On .......,�.....�.._.....�.._.....�...:....'......:_..:_...........:......_----�---.. Street <br /> Lot....�'._i�.:_...:...:.:.:...:c...`............................. Block No..._._.,.._�:..................._ i <br /> Addition .. ----- � -'...:_:..:_.. -..:.._....'....:.:.......----- <br /> ..................._..- ••- <br /> Remarks ..........�:\.�._�...�..:............:........�- .:..!..:�....=---......_......._................ ' t <br /> . �i <br /> --._...... .................................._-- . .._......................---..............._ <br /> ��......_ <br /> ................................._:.. -..._...... .._ ........................................... <br /> ........., �/� � � `.!......................................_.... . .. , � <br /> ....... ................�.........�..�--�.. � ..... <br /> ; , • . . <br /> � , . . <br /> ..../........: . .��..'. --"-"_J:�'_I...............................................P.:.__.._"'._..:."' <br /> � � �+1• ..R•� Su erinterdent j <br /> � L OIt AND MATERIAL USF.D <br /> No. ', i <br /> —--�— — —--- — <br /> ..........................:.... � ............... Lr.ad Cnnnection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t......................_....I ..___...._......_..................................................Pipe <br /> ......................................................� Servicc Cock <br /> ...................................................... Service Box <br /> Nn. Hours Labor._......_...................................Cost.................................................... <br /> Cutin....................Pav�:ment......_...........X......_................ ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X..........._............ �� <br /> ........................ <br /> �� <br /> Totnl ........................Sq.Ft. <br /> —�� � ; , _ <br /> . <br /> Remarks..,:.._:.......�r................................_...................................................... <br /> Ord.r Receivecl...................................................................:............................ <br /> r �� ; ; , <br /> \1'ork Completed..,r�:.:::..:i..:.....: .:::- .......:.........:...._�..,.........::.:..z......._. <br /> Foreman <br />