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- 203 � . <br /> a +.'mitec��.� si ' �� _L <br /> M• a �ERM ] <br /> CITY OF FVERETT-Water Dept. �� <br /> i�� :; ,� � . / .. �1 <br /> Application No!............".....-- l7P •• �• �� �� .!'� 19.v , <br /> - -• <br /> •.................... ... . _.._.._. <br /> � X ' • Install...._� ...........inch water service pipe <br /> For .........�.1�f'� �; ��Y 9 1 <br /> --.. .. . �...........�C.:�-.....�......a.................. <br /> .......j. � .....---•-� <br /> On ��� kS...=`- ., ., , � ... <br /> -'-'-••....................../. �...._. r, ..............'..:.. Str2Et <br /> ♦ � �. r <br /> . ....._....._....._........ <br /> Lot...................__........�.........---...._.----. Block No......��_.___..._._. <br /> . ...... <br /> Addition ............................................................................................... <br /> Remarks ................. .. _ .......... <br /> n.......,.'............. ........�._._.. <br /> ....................' <br /> ......................................�.11_.� :.�..''.A•.�.'....^...n...._�l.......!(.� ....... <br /> /} n ' 1 � . ......_... <br /> .r..-f.�..(..�rL.—......����..,:..�/.��.l.:...�:.�.................................. <br /> .............. ......................... •�-....�..; <br /> j- .................._-..................�„ <br /> �J J , .�r�_..__. ..._.._.•--_ <br /> .....---- ..... � .�.. <br /> . : ... ......,, . ..-��......................�. _ .�.:...:3....,..,_P..�- <br /> .0 a `' C � � � fSupe{`inl+endeEt <br /> h / J� / � <br /> ;C�; _� � �,� '' LABOR AND MATERIAL UBED <br /> �4 &���Size —�--- <br /> ' ....._... Lcad Connection Complele <br /> � « <br /> ......b......:.........._..:........... <br /> ........_..................................._....._ Saddle Complete <br /> ..............�'_...it....._.._'/.�.......... .�t-. ....................................................Pipe <br /> C/� <br /> . .................L................�.y............. Scrvue Cock <br /> . ..................................................._. Service IIox <br /> ...................._:.......1...................... ............................................................................................................._. <br /> No. Hours Labor.............................................Cost..._............................. <br /> .................. <br /> Culin....................PavemenL....................X......._......_....... ..---.....Sq.Ft. <br /> 3� ��`�'' ......�.............X..........---.......... ......._..�........... �� <br /> ...X........................ <br /> .�*�<. <br /> ....................X........................ .� <br /> ........................ <br /> Total ..............._.......Sq.Ft. <br /> ---------- <br /> ,_i, , — <br /> Remarks................................ ..., at.n.....v.^..:tfx�....�....l�ra...:���:tr..l.,:.... <br /> .................................................c9....:L1.6:...u..awLw............................. <br /> ........................................................................................................"""................... <br /> OrderReceived.......................................................... ........ <br /> ......................... <br /> �Vork Completed..�.-'..7.`�..1.............._..........�-y.�,,F�G�?x,xt.A,�...... � <br /> Foreman <br />