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��3� .,�� <br />S J PriebelN7. 39 ^ • — <br />0.'. D. Form ] <br />CITY OF EVERETT--Water Dept. <br />A lication No,.�.....��.....�.�"' �' �� — r' <br />PP � ...... Date .....................�----......................13.:�." <br />In tall.._:�/2 ...:............inch water service pipe <br />. , <br />For ...l::...r : -�..,. ..._.. � � <br />... .......... ... ............. ..........._..�......................._----�--...-- - -.... <br />.�. �—�_ . .ry ' _ : . . <br />On.............�,.._.... ' < ; r: ;> �-.-_S: L_....----....... Street <br />.... .... . .. . <br />. <br />. ........ . ............ . . . <br />"-_.�.-J••�} -h�----...... . <br />Lot .................. ----. Block No.-�---.............................-- <br />Addition.................. ...................r.............................. --.....................-�---�---.. <br />,• �`. � . <br />; � � , � .• i ' i��f..-,.._. <br />Remarks ...........:'�.,✓. � D y �� � � � <br />.............---..._•-----r ------........._.................. . .---.....:.. <br />��ze <br />. ��__-. <br />.a <br />LAB(`.^. ,yND MATERIAL UBED <br />Lcad Connection Complete <br />Saddle Complete <br />Service Coek <br />Service 13ox <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavenient....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />............. ........ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />. Total ........................Sn. Ft. <br />/ <br />............................................�---......... <br />Order Received......... <br />\Por}: Completed...., <br />� <br />Foreman <br />