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-- w.o.��� �am ::�;o.z4 -. .. - <br /> CITY OF E�IERETT---Water Dept. <br /> (' � � � <br /> Application No..D.y.g.�.__ Datc ._ .. ... .... _ 142.5_.. <br /> Install_. �I�' in�ater setvicc pipe <br /> FaT _ +l-�_�• + ��9, _ _ _ _ <br /> pn_.............a-..�...". a-.....�...-�y-9�a-yl, __ .........._ .........Street <br /> Lot......................._._ .,........�............Block No....__._�.�.__ ...__..._......._..... .... " <br /> Addirion_........__._ ......................._.. .......................................:._.......................... .__..... <br /> Remarks..._._.................................._.............._............ ._... ..........._..._..._...................._. <br /> _................._._..._............._......_ ._._.........................................................._... <br /> _ __ _........_ _ ___ .._....___.... ......_....._..................__..__........._................. _.......-� <br /> ..............._ _ ... _........ ._....._ ...._ ... . .. .__ ...__..._ _.........__..........._. <br /> ...L.�-� ..�_..._.. ....._........ .. . . <br /> � � s� �i�;��ty�s�� <br /> ��. <br /> _..__. . . _._ _ . .____. —_---_—._ � --- ------ <br /> LABOR A�1D \tATERIAL USGD <br /> ---.__.' � - - -__. . . -- - <br /> No. �----- ---- - -- -� �--- .. <br /> � Size - - -----�-----` <br /> ........................�----- . ....-�- - <br /> � ,. <br /> - ------------�- <br /> / . �...r7.:...:.n.....,. .� Lead Connection Completc <br /> :.._.......L.__........ .....�.<l:J....... Sndd� Com lete <br /> ' , <br /> ...........L:......._ft. ...... ;y_........_' ._.._...��:. . ......:...........__:.........Pipe <br /> i ., <br /> ...........�............_�...`Y. ......... . c.�r��ice Cock <br /> ........../.........�._..�.�L�.L�... Scrvice Box � <br /> ...._.....................:__............_..... . _..............__....._.................................................._.................................. <br /> ....................... ....................... ........ __.... ..................... . . .. <br /> -- -- ----- �- --- <br /> --- <br /> No. Hours Lnbor...__...�...... ........Cost._......��..a.:�. . <br /> ............ ............................. ... . <br /> Cutin.._.......-........_]'nvement....................X........................ ....................Sq. Ft. <br /> ....................Ti........................ �� <br /> .................... <br /> ....................X........................ .................... :� <br /> ....................R....................... „ <br /> .................... <br /> Totsl ....................Sq. Yt. <br /> - _ _ -�1�y -_ - _---- <br /> Rcm�rks7 ,:�.�.,; h \t � � . . -, . <br /> Q�:�LG� F ..c�71. ac�4� _ ,._t� l.�t � f rrLca�c�. ..._ _ <br /> __ _ ._ ... _. _ <br /> Order Reccivcd <br /> Work Camplcted .,� . � � -�i'��i/ _ <br /> �� /Paxm�n <br /> � <br /> —�N_: .. <br />