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/ <br /> /�""9 0 3 ,l, <br /> w. o. ronr. � <br /> CITY OF E VERETT--Water Dept. <br /> App;ication NoF'..:�..%'_`:..-'_. Date.._...i:::'..:;::...-'-'.':............._iS:..... <br /> 7nstall.-.......:":".._.�_____. .inch w�ater service pipe <br /> . � <br /> Far ._.._s:�«R.-sc.��:�........ _a�,r..xg............................._._ <br /> —�/ �.S'��., . . <br /> On ...... -.-^-.. ................... -�. Street <br /> !.-�:-a,,.:a..-.......................................... <br /> Lot......_................................. .........._...... Block No........_.._......----............. <br /> Addition ................................�--......_............... <br /> ............................................... <br /> Rcmarks ......................._..........----...._. <br /> ........._............ .-..............---....._........ <br /> � „ <br /> �/• � � � <br /> ....... ..�C.lr...._� .�� r.3.cw....+........t::................_. <br /> ...................................................................................................."....._.............._... <br /> ...�...................................................."'"�'"......................�.._... ........_.."""""""......... <br /> ............_................... ......._....................................Rf.c' I=�-,y-_ <br /> ....... ......_.....�............ <br /> BuperinYendent <br /> %:, ..; <br /> LABDR AND MATERIAL USED <br /> No. Size I <br /> ............._.._...._...........__.....__...._f Lead Connection Complete <br /> ♦.........>....:.:.........':............. ....I Saddle Complete <br /> t........I,Fv._..St.�....;_..._............. ._-_::�....,..._::.........................................__......Pipe <br /> ..._..........;.�:.r......._i..!:c�.�.,:..,:,.._ Service Cock <br /> ....._......_.,�._.... ... ............::....... Sen•ice Box <br /> � `: , 1, <br /> _.........._,�_._.. ..:....:.....:.:....... ........._.............................._. <br /> No. Houre I.abor........_.........._........................Cost..._.._...._........_..._._. . <br /> ..........._... <br /> Catin......._........_yavemenl.........._.__..X_...................... ..................Sq.Ft. <br /> � ...... <br /> � <br /> J _(: ._ � ............_...._x.........._........... ., <br /> ......._......_.._._. <br /> ...................x..........._........... .. <br /> ...._............... <br /> ...................x........................ „ <br /> ..............- _.. <br /> Total ........................Sq.Ft. <br /> - - — -- <br /> � , , , <br /> Remarks..........�.�.....:..,..�_.:.....................::_.a.........--............_..._......._. <br /> ........... <br />- <br /> , <br /> ... .._........................._.�z..:.l�......._._,..--��---........................................----' <br /> ................................................................................................................._........... <br /> OrderReceived............................................................................................... <br /> \VorY �.ompleted.:�:.::.::..:..:..: :.. . .: <br /> .........................:......:....._...........,:.....__. <br /> Foreman <br />