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��7+� , <br />�� ' ' ) ! l��' " � }�i <br />. � • ;;� <br />w. o. ronw a ������t� ��� <br />CITY OF E\IERETT--Water Dept. <br />��PPlication No..�%�.53.... Date ................. =".�.-.....19�'.'E <br />..._........ �.. <br />7nsta1l ........... .................itich water service pipe <br />For.............................. ................ .................................................... .. ........... <br />y, �/ . .. <br />On ........._1,�2�...........(::?`.'ir-;_r�y.�.>�: /l.�cy`,� ........................... Stmet <br />... <br />0 <br />Lot.............................................................. Block No..................................... <br />:ldilition .......................................................................................................... <br />Remarks..., .......... .. . . ................................................................. <br />_...................�... <<......�.�- ............................................................-- --- - <br />......._, .... ..................... <br />........�1:-.ti�.:... �:.....X- <br />LABOR A\D MdTERIAL OSED <br />Lead Connectien Complete <br />Saddle Complele <br />........................................................................ P i p c <br />Scrvicc Cock <br />Servicc Box <br />No. Hou^s Lsbor ................. <br />Cut in ....................Pavemen <br />........................Sq. Ft. <br />........................ �� <br />......................_ �� <br />. ................... ........................ �� <br />Total ........................Sq. Ft. <br />— --=_ <br />Remarks........................................................ -- <br />Ordnr Received......... <br />\Vork Completed._... <br />............. ...... ............ . <br />Forem. <br />