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W�D.Iorm,M7-16295:��¢ �/ ' ' " <br />CITY OF �:�ERETT--Water Dept. � <br />ioa�i a/io/ae <br />Application No ......................... Date...............................................19...... <br />Tnstall...... 3/4!! ..............inch water sriti.ice pipe <br />V. H. BEIIUCNAYP <br />For.................................................................................................................... <br />914 Co�er .,__,,,_..,..,_, Street <br />� On .._ ...........................�--................................................... <br />Lot..........._27-28 ..................................... Block No...._175....................... <br />I A(Id]LIOII RE�DY <br />........................................'""'............................................................. <br />Remarks..............................�--.._..........-- • ._....... -..............._..................... <br />.......................................... .. .......... ......................................................... <br />G.G. Pq�NE <br />Po..18..00� ............... ..........................................................�..R............................. <br />1.!. CORCOR71�°rintendent <br />LABOR AND MATERIAL U9ED <br />No. <br />..... _.... <br />+., <br />,.� ..............j Lead Cunnection Complete <br />X 3�� I Sad�le Complete <br />,3 " %'-o�?��za�'_..:.._ ...................PiPe <br />��f ...... . ..._. _ .............�., .......... <br />�% serv;cc cock <br />.:........ <br />.L..... .::. £crv'ce Hox , . <br />7 <br />y n �' � �j I�D/I— �_o-�o-r- �LF-s<- <br />4............_ _ ....3./'_ . . . . L ............. �. <br />„ � �:.�_��-..,._�� .�� ��� � �... ..... <br />.... ... ._. .. ...... ...... <br />_ _ r .. .. ... ............... ..... ............... <br />„ <br />x ,. , <br />1To. }{ours Labor ..........................................�I.Cos{._�n..:L_1......._.......................... <br />Cutin ..............._..Pavemcnt..........._.......X........_.............. .......................Sq.Ft. <br />!r�'� � ......__-........X ..............._....... ..........._........... u <br />.......X ........................ ... <br />.......... .. ..................... <br />-1�,�. � �,� �' ...._........._...x............_.__ ..... .................... „ <br />� Tota] ........................Sq. Ft. <br />- — ----- --- <br />Remarks...._ ....... ......................................._.._._.....__.............._.. --................ <br />Order Received ._...... <br />\'l'ork Completed.._...- <br />Foreman��( <br />