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_ . /3 S68 ^-�'� _ _ <br />6 Ji��RlO[ .. ` <br />W. U. IOI�M b <br />CITY OF E�'ERETT•-Water Dept. <br />Application NoJ�j�...�.�. Date.......�,.l:.4:vt-._'�..�-.--..19G_� <br />Install.......;.: �✓..:::�. .inch water service pipe <br />--, <br />. � ,r_..,-,_ <br />, �, � Z .. o_ .;c,�,� .. . / <br />For .....v.f.._�._:J:..C<.:,:�_: r ......::.::::�:::.:-.....,.1.............z...�.:.........---... <br />_ � .� -�. . / <br />On ......�,.� ..............u.._�. ..... �:..`—r..................................... Street <br />Lot.............................................................. Block No.............----............----.... <br />Addition...................................................................................•---................... <br />22emarks .:.:11..::�s.:-...%1{'.:�:�:::s.- .:::....................................................... <br />0 <br />�., ✓ G �!i ,�i(: �'.y, ,,, <br />....::...... . ..�.4....... .......... ...................................""'"... . :.......... .."" "'"...... ... <br />� � • � � D Super�ntend� <br />i:- . /'�' to <br />' S.�BOR AND MATERIAL P9ED <br />No. � Size � <br />................. . I.cad Connection Complete <br />................. .. Saddle Complete <br />� . <br />..:.:' :. :.............. ............ ...........................................................Pipe <br />....'.:_: :............. Servi^_e Cock <br />...............:......... Service Box <br />R <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />� � � - . . ....................X......................_ �� <br />,.. . , . <br />. ........................ <br />. . _" ' ���� ....................X........................ �� <br />� ........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />OrderReceived ............................................. ......:......................................... / <br />\Vork Completed.�:..::...:'...�..:...5.-_' ................:.'_.._.:�..t..�..:.:....................._. <br />Foreman <br />