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s.`.�. miee� � � � � � � i�% <br /> w. o. ronw e <br /> CITY OF �VERETT--Water Dept. <br /> ApplicationPlo./.<:��-.. Datc.....��:''.�� `� 19.c :� <br /> , , . �........................... <br /> Install.. ........:�.Y............inch water aervice pipe <br /> For . ........,..s'=r`:.z,'/.�.. .,:::.. ;,�ar.c-.:..... _ ..... _.._..._................. ......... <br /> On ........._..... .,r��>:.,-�_9_...�:.:-rdn��� .... ;:�treet <br /> ...........__._.._............__............ <br /> Lot................. ........................................... B1ocA No............................ ........ <br /> A�idition .._...................................... <br /> _ .......___ ...... ........................._......... <br /> Remerks ._-2�tu,.�..�..�'%,t.r�.�.:�:_�...........................................__.. <br /> ._ - , <br /> ,,.;,. ,:r-�-'!. „�y.�.a.�:�:��...._.................._.............. ........ <br /> _..... .. ....... ...... <br /> .................... ................................................................................................... <br /> :, <br /> � <br /> t::............!...�'►...........�3............................. ................................................ <br /> � ,. „ ; .., � <br /> L!_ _.... �'.i�'. %�--i-ri�, <br /> _j...__. ,...._ C`'] _..........._..............:... ................. <br /> ............ <br /> - ��,!{'�/'�C Superintendect <br /> �a�r�=�_ —�a� <br /> �� �'. . .. j:, LABOR AND MATF.RIAL U9F.D <br /> . .. No. _ � _ Sizc � <br /> ._ ______—__'—___ __.__ <br /> . _.... .__.._.��......._. _._. ..__.I 2,ead Connec!ion Complete <br /> . . .. . ... Saddlc Complete <br /> 7 fl.l _ �.C'. � � <br /> .... �. �.,.�. •... . .. ...... ......._ .....Pipe <br /> .._........ .: _.. ...... �.w .....- Scrvlfc Cock <br /> ...............................r.................� Service Box <br /> .........................�.�I...I..�G.�.4�}..... ... ................................................................................... <br /> ... ............... . <br /> Na Hours I.sbnr........_......._....._...................CoeL......_..._........ ..__. _.. . <br /> Cnl in._._ _...._ ..Pnvemcnt ...... ._.......X.........__.. . � <br /> .._................X._.._. <br /> .._. _. ._......X.. <br /> .. ._..............X. <br /> Tolal ..,, 1�i <br /> �- _..__.—:-:_-- � . . . <br /> ' _ � , _� ._ - ... <br /> Remarks... ....... ..�....._,.yy._�y.[t.._L,.,:.............. _ .._................._ <br /> . _...... .....__...__._::..._:�'�7.......i:.�..`:c.�.:.....�..:..e.�..�..................................... <br /> - . . . <br /> __._........._......................:...a.5..:...........:.............................................................. <br /> Order Recciecri . .... ...... ...... .. .. . . .... I <br /> . <br /> \Vork Complr.t�d �> . . �i.. � ... . __.. ' � � .. . . ._ _ <br /> Foremnn <br />