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B. J. PRIEBE ]� 3 O�� � . yyJ <br />W O. IORM ] . ��� <br />� CITY OF EVERETT--Water DPpt. <br /># .r 4 .:,,, e, <br />� �- <br />Appiication No�:�S'.�.%.... Date .............. . � G ...:....-•---.........1 ,::.�, <br />lnstall.......�...� ...............inch�ater service pipe <br />�/ � <br />For ' <br />...1...f�l....G..'.`.....�...�r. .x._.e-r. � r'......�L-.... �-� r�:.a::.l:r.s<s�,.......... <br />/ � ' <br />On .....,L�Gac,,..:�.....�.s��zs,�s..._�:-s±?..-..._ �.E`:.......... Street <br />Lot! .� Zi...��.t.b.-(�- .�-�: � <br />� ........................•---........................... Block Nu...�1Gr,t..� . <br />Addition......................... ........................................................................... <br />Remarks ..�u��...-�:z.-..�:�:c.c...........-l�Y.r..r�:�..�............ <br />� � ` �i. � /'.��-.:c <br />6..� ...................... .....................i/..�......................., �. ... <br />/� �, Superintenflent <br />Y�'� C�J <br />�' . LABOR AND iNATERIAL IISED <br />"i; �'��' Lead Cot:neclion Complete <br />.............. .... .:..... :ft....__.............. <br />......................�_:. �...,•..;................� Snddle Complete <br />..................:.._...I.......................... ServfceCock <br />.......................... .......................... Service Box <br />� , <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....... ............Pavement....................X........................ ........................Sq. Ft. <br />� <br />- � �, ,r r.-/ ....................X....................---. ......._.............. ' <br />, , ... ...................X........................ ........................ �� <br />, . . <br />� .-, ' = "�-� �� <br />. . � ....................X........................ ........................ <br />Total ....................... cq. Fi. <br />, <br />- i <br />Remars ..................... .---........_......:....:. ::.:......... <br />OrderReceived ............................................................................ .............. <br />\Vork Completed .......................................................................................... <br />Foreman <br />