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/�522 n <br />w. o. rn�w s �_ .', C. i'; (. <br />CITY OF E�IERETT--Water Dept. <br />' '.:' >, _ <br />Application No....%.�.:'::i.._x:- Dnte ......:::.......�.............................19..�:si <br />�nrt�lr.......-.::` ......:....... .inch water service pipe <br />For.......................... ...:,.................................... ,........................................... <br />On :?��' l� �;,� � <br />........ .�.�.. .......�f':::`{°..f.:�..:::`:.''.�::` .:::::..:..:..-....... Street <br />Lot.............................................................. B 6ck No.......n.....................{....t <br />� , <br />Addition .....> ................. ���:f........ • f <br />. ................ 11..J �.....�..:�..�...^.' � � �� � <br />....... <br />_ � ..:�-- _ � � . ; �. _ <br />Remarks ....................�:��.-:.—�r..—..:..._c�..........f.....^�._!......[. �...... <br />Superintendent <br />LABOR AND MATF.RL4L USED <br />� <br />No. � Size I � <br />Lead Connecliun Complete <br />Sadtilc Completc <br />... .......................................Pipe <br />Scrvice .^.ock <br />SC[V1CC BU: <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavem�nt....................X........................ ........................Sq. Fi. <br />...................X........................ ......._............... �� <br />....................X........................ �, <br />........................ <br />....................X........................ ,� <br />........................ <br />Total .......................Sq. Ft. <br />---'- --------- <br />Remark.a ............................................................................................................. <br />Order Received.......... <br />lVork Completed....... <br />...........................................' <br />. ................................ .. <br />Foreman <br />