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� i PYI[p(���� 1_ <br /> M. O. �OPM : � � <br /> CITY OF EVi;RETT-.Water Dept. <br /> Application No.._..�,�� �� Date... .. _.�.P� ��� � <br /> _.... .... .... ...........19.---- <br /> /,�� In. 11._..._... .:.�_._���..inchwaterservicepipe <br /> For ..`�J . .._,c�J.. . <br /> _. ... -..._. <br /> . . _.... -- ............................... <br /> On .............�.�.��....- ---/�e�y�L� <br /> ` - . S[reet <br /> _ _ _....-----7.... <br /> i.ot._.. _..'..�e...- �. .... .�.......__.... B]�Ck No................... . <br /> �!ddition /!a�-... <br /> . .. .. <br /> ._... itJr�2R—�.._..�G�2c'�i........ .� <br /> � �nQ<�...... <br /> Iicmarks ....-- ...................................� ...........� <br /> �. <br /> + ' � C <br /> ............�...... • <br /> ....__. . <br /> .,, . _...A�...(.� ..... ..� <br /> � <br /> ���.. . ft�f ........ ..........�...._ . <br /> :..._.__.._..._. �.... <br /> F...... ,.� _ _�r._......--... . .. .................................... <br /> � �, ......--.. <br /> ......,........ <br /> ..... <br /> �_ �_. , �3.. _........................... - �- <br /> �� <br /> __ <br /> ....._. . <br /> ...-_-. <br /> _ _. ...-..-� .................... . <br /> �` —_— — Superintendent/D _ <br /> ---`--- `--a>'li <br /> LABOR ArD 11fATCRIAL USF.D <br /> _ No._ _i Size � <br /> —__.. _ <br /> � --- � --- --.—.---- <br /> ................................................__..J Lead Connection Complele <br /> .._............................................_....' :;addleComplete <br /> .._...................fL_....__::.:............ <br /> ........................................................................Pipe <br /> . ................................._._. .,crvuc Cock <br /> ._............_.._..........:..................... Scr:�icc I3ox <br /> _ ......... ........................_�—,...................._............_................. <br /> No. Hours Labor..........................................__Cost......._........... <br /> Cut in__...._..__.._Favcmcit . ................._._...... <br /> ,._.................X__..............._... .Sq.Ft. <br /> ....................... <br /> ......._...._.....%�......................_ �� <br /> . . . . . . ......._............._ �� <br /> - .................._X........................ <br /> ........................ „ <br /> ....................X........................ <br /> ----- — -------------- Total ............. ......Sq.Ft. <br /> ----------�.._.�...... <br /> -- — <br /> c�narks............................�... - <br /> ---_...................._.....:............................._......... <br /> ......_.................................._�l,..........--....................: <br /> ................................ <br /> ................................:.......:. . <br /> .. ...................................................... <br /> Orde. :eccived........_.......--- <br /> .................................................................... <br /> \'vml: Cnmplcicd...........:...:.i:....:. _ ` � <br /> .......................... , <br /> .._._..............-- <br /> ....... .. <br /> Foreman <br />