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/ 3`D �,f�' �� � � � <br />,� <br />W. O. IONH '1 <br />- CITY OF E�'�RETT--�X�ater L�epr_. <br />, ;,,i,: <br />-_.�._.�l__ _"' <br />Application No.... :.::' .".:. .:.. Date......_. aJ. :....� ............... ...- 19(-� <br />lnstall .........................._..inch water service pipc <br />F'or ..........................._.._ . ...... <br />i /�/ <br />On . .7.C./.../............�i�l:y.._ .............. ......_......_........... Street <br />Lot............. ................................. �........... Block No....-�---�--........................ <br />Ad�3ition .............. .............................................. ........................................ . <br />F.::n.irks ..- ................/...J. ',..................... . - • - - - • <br />.� ✓.r.�.��lv i!"l..�....... <br />_ . .. .... ......... ... .... ...... .... . . <br />........._ . . ...........__...1.� ' � -• ' ......."'" ................._"""' <br />..........._ _...........'_ ......................................."_"'._................""......._"""'"'.......... <br />Supe:inlendent <br />LABOR AKD MATERIAL i75GD <br />... � �..._ � . � <br />Lcad Connection Complele <br />Saddle Conolele <br />........_ _ .............. .._.........................................PiPe <br />Sereicc Cac!c <br />Sc:vice Box <br />... _ ..............._......__. ..... _........................................ <br />.... ... _ ....................... _.. _.............................. _........ <br />......... _...__ ........................._........................_......... <br />No. Hours Labor ..............................................Cost..........................._....................... <br />Culin......_............Pavement..._ ...............k....._.........._..... .... ..................Sq. Ft. <br />...................X.__.................. �� <br />....... _ ............... <br />.............._.._X._._................... ,� <br />................... _... <br />....................X........................ �� <br />........................ <br />Tot�l ...._...._............Sq. Ft. <br />--- <br />Re marics .................................................... ........................................................ <br />........ _.... .. .. <br />Ordr.r Heceiced._ ......................................................................................... . � <br />1Vork Completed ................................ _ __ . _ <br />r ,,,.: ,:� <br />