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S J. �'riebelD4���,��� • • <br />W. U. Farm! � <br />CI'-'i'r O�E EVERETT--Water ept. <br />� ; � -;� y' i6..:`�t.� ...::................19.:'.�::,� <br />Application No.l`:.:.�..: _.:. Date......,/ ............... <br />Install ...................r :;�-�,--.inch water service pipe <br />. r. / ......'`. / ..........................- -- <br />For .................. � � <br />.., <br />-- <br />�:.-�� n, it <br />vn ............... <br />�..........' .............::'.r..........::.:�..`r:....�..:::...�._..r....... tree <br />,.L�' ......Block No .......................... .......... <br />Lot.......:..11-...' ....................-�,�...........;.'. - a, y �• ,� <br />( rz.:.l�r-:.'r':. "::, i _i 1 _!' ' <br />Addition ......................._..... � <br />._ ..........: ..................:.....::....�_........ <br />Remarl:s <br />� <br />No. <br />i <br />..._...�...::.�.�.:`.° - <br />� <br />�� Superinte:ident <br />7 <br />LABOR AND MATERIAL USED <br />I,cad Ca�nection Complete <br />S�ddlc �Ampl�te <br />.. f.:'.....-.' .:...:....................................Pipe � <br />_...... .... .. --Y.�i M �-.: <br />S^rv�e Cock _r.` Y , . <br />� ��, , <br />en�cc Ro%� - � • �(, - <br />� . J c . Co-rc: .:..�.4..:.'.f.�:..j�.2�1.«5�.:.....J!'f"1latG:::.. <br />�1�..��......_::.__.-.__........�. , J� f��� r�� <br />�� U, ;,1 <br />., ,f� _ �.� ............._:...........:...._<...:._...................... <br />..........:. r .::..:...:.................. . <br />:..'......::Y..l.!.:k�. {ta.� :..�...:.._ ................................................................. <br />U ��, <br />.........................� . , . _ . . <br />s i_ � <br />' �'.Cost..1'...... <br />.. <br />No. Hours La or .......................................... <br />Cut in._.._....._......Pa��emec.l ....................X........................ <br />. .. X ........................ <br />� .. ............ . <br />� d � ........_..........}� ........................ <br />� « �U <br />_ ...................._Sq. Ft. <br />m <br />� i i �_ � ............X ........................ ...._.__............. <br />•i,) � �} Total ......................59. Ft. <br />...._............- .............. _..................... <br />. ............................................................................................................................ <br />' �.._...... <br />OrderRecei��ed ........................... ............................................ . ....... . <br />`„ork Completed............__........_ ......................... <br />.......................Fc reman ... <br />