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a�.n.F�.m 3 iom �i.w:a ' . <br /> CITY OF �VERETT,,,Water Dept. <br /> APPlicetion No. �...� �_y / Datc__ <br /> 3._.-_ 2 ,9z..._� <br /> ►�s�en ' y " <br /> For . ' , , �, e'--lnch watcr service pipe <br /> On _ �..a �� _ �"`�� <br /> Lot _._.� �'- / _ Street <br /> Block No..._ _.._ .3 5_� <br /> Addirion ....___ ... __... . _.... <br /> _ <br /> _....__.. .......... <br /> Rcmarks ___...._ .... <br /> ................_.......__.. ...._ ..... <br /> _........_............___. <br /> _...._............_...._................_......... <br /> _ _._......................_...__......................._... <br /> _ _....._... <br /> _......___.. _ ........ ... . ........._ __....... <br /> .................._ .. ..... .__. <br /> I � _..... <br /> ...L° ..} <br /> . .. sun: rte�n .n� / /�7'l' <br /> � " ._:.-_ . '-_ ___ ..1 — <br /> LApOR AND DIA7'ERfAL LSED — '�-���'� <br /> . No. -. ' Sise� � . _ . <br /> �. . y�-�— -- - � . _ _. �--. <br /> � � ...I d......°+'�"� Leed Connertlon Comple!e � . . . ._� . .� ------�-- --.. <br /> _ .. <br /> ................�................... . Se�le Cnmplete <br /> ��..:�....tl.l_ i' .. � <br /> .._... ..�.y.,......... . . -✓{i,,Zr' <br /> , ............. ......_........_.................PfD� <br /> ....._..................I..�k.�....._... Servtce Cock • <br /> ........_(............... �ma<Cr.... <br /> � � Sorvlce Box <br /> .........✓........._..... �ifA;ii " . . <br /> J. . yl•:j�J Lk��. <br /> ......�............ A 3 l � ' . . ... _. <br /> w..�l r�df . . . .. . ........... . . . .. <br /> � <br /> . .... .....•. <br /> .........✓.......... y ........... <br /> _ �l�n..c,�. <br /> _ _ ..... ...........__.. <br /> -----c ---- ---- _._... . .. .... <br /> No. Homti I.ebor..........._t? �=�v- ---- - � . <br /> .... ................Coet......��......- _. . ----- <br /> Cut In....._......._........_Pavement...................X.............................................. ........... <br /> � ....................Sq. Ft. <br /> ....................X............... <br /> �........ ........ �� <br /> ............ <br /> ....................%........................ �� <br /> .................... <br /> ....................X....................... <br /> .....�._ .. ,� <br /> I Y#� <br /> "` ' Total <br /> • � -- _ .—. __— ... .. sn t�c. <br /> � ��—�'_ =-__ <br /> �;,y,j Remerka ,G<rial SI� " _ -- <br /> A ha��7/_�'E. ...., <br /> _ ��� �-_.�.a,,��. <br /> _.._.. . . ....... <br /> Ord�r Received _ _ _ _ <br /> ....... <br /> Work Corrplcred ""` � <br /> . � <br /> �-� •�LIFJ�e,� <br /> P�nem�n <br /> `� , <br />