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5 J.Priebe1M7d619if5 � � • / � �' ��1L <br />W. D. Form ! <br />CITY OF EVERETT--Water <br />Dept. <br />8774 io/io/no......._ ...............s...... <br />Application No ......................... Date...................... <br />Install.......1���� .............._inch water service pipe <br />I'or .................................................................................................................... <br />On..........dD.6-33sa ........................................................................... Street <br />Lot........._ - ........_............-- .................. Block No................_....._......_.--- <br />Addilion.......................................................................................................... <br />Remarks........................................................................................................ <br />RENEWAL <br />............................................ ......................................................"'...................."" <br />.._...._ ............._""'___"'_- ____ . <br />G.C. PAIDIE <br />O R D E A E L�_9.p..OtrE._RAE N.........._...._........_ ................. .............. ....._....................... <br />Superintendent <br />11�. CORC6RAN <br />LABOR AND hiATERIAL USED <br />No. I Sizc <br />, ,� <br />..............!.......tt. ...........::_........ <br />� ;� �, <br />......... _ ....:........... ................;�.... <br />................._�.... ....... ..;..... <br />' ... ... ..:......... <br />� � <br />Lead Connection Complete <br />Saddle Completc <br />(� . . i <br />. ,.. ::: ................Pipe <br />........................................................ <br />Servicc Cock <br />Scrvice Box <br />......�...:.'.. ::� '.� '♦� ` <br />. .............:.........:...... ....................._.....,...... <br />i „ _ , ; <br />� r .,.�-_?............'.' � � . � , <br />[� ` <br />No. Hours L�boc ........................................�:..Cos�f...�._8..�.................................... <br />Cutin..........._.......Yuvem_nt ....................X.............._........ .-�---.................Sq. Ft. <br />....................Y........................ ........................ <br />�� <br />� � , i . .� . ` ....................X........................ ............_........_ �� <br />/ � � � � X......._ ............... <br />.� ^ .................... ........................ �� <br />Total ........................Sq. Ft. <br />_-----------�------.._ — <br />Remarlcs ......................................................................... .......... ........................ <br />....... . ... .... ..... .. . ...... . . .... . ......... <br />Order Rec�ived .... . ..... .. ... ...... �� � „ .., <br />� ; , : , ._ <br />k,� k * .-. �::or}: Complcled. �.�' "....��...:' .'".0 .. ......��� tt:'.'...... <br />t�iy�y . Forcr.ian . . <br />i i � f . <br />� �; � r <br />s��e„.a ., . <br />r,! � <br />� i, t <br />�; <br />s''a . � . . . . . . . . . <br />.:g'Rs�i , � � � .. �� . <br />, ci <br />.� � �� � . ' , . <br />� ����* . .. . . <br />,� t <br />��� <br />��ri <br />� u �'` �.' e' _ <br />ti Y,. <br />{ <br />n <br />� 1�� � <br />1 - <br />, _ , �J�f.S� 'i � 'k " . . ., <br />n <br />