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, <br /> s. �. rnicoo :•H /���� „ � <br /> ,� � 1! �1 <br /> w, o. ronw a �: <br /> C:ITY UF E�.�ERETT--Water Dept. <br /> ,. , :e � ��. ,,• ' 7 <br /> Application No..............._;x ..:.•: I]nte...... ..... L:G_.t.l�..,�.........19... :. � <br /> lnstall.........................i�inch water se=vice pipe <br /> F�r ..._....._..................:..._... ............---.............................................. . ... . . � <br /> f � .. � . ^. <br /> ..... . .. <br /> On ......�_.vZ../....?.r......_... :...�:;11-'Z'LC-'�.:r.s.-.��.—t....... Stmet <br /> Lol... ......................................................... Block No..................................... <br /> :1d�lition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ............................................................................................................................ <br /> ................. ........................................................................................................ <br /> ..................��._....:J<:�:�............................................................................... <br /> .....................................1..-:�::.�:�................................................................ <br /> Supe:intendent <br /> LABOR ATD MATERIAL USED <br /> No. i Sizc I <br /> -- �---- �—— <br /> —i----- <br /> ........................_�......_....._..._. Lcad Connection Complele <br /> _...._............................................1 SadJlc Completc <br /> .......................ft............................ .......................................................................ripc <br /> ...................................................... S�rvicc Cock <br /> ...................................................... Se:vicc Box <br /> T'o. Houcs L�bor..............................................Cost.................................................... <br /> Culin........_..........Pavement..._...............X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ....................... <br /> ....................X....................... �� <br /> ................. ..... <br /> Total .................... Sq.Ft. <br /> ------- --- '— <br /> Re:n a r k s................... ........................................................................................ <br /> _. ..._..........._..._................................__............................................................._ <br /> ........................................................................................................._........... <br /> � <br /> � <br /> OrderReccieed....._................................................................. ..................... <br /> �`�;, <br /> \Vork CnmFleted._.......................... ........ ........... ............... .. ........... . ...... ,,,; <br /> Foreman <br />