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� /SD 9 � _ , ���.s_� <br /> ; <br /> W. �. IONN � <br /> CITY OF F,VERETT--Water Dept. <br /> Applicatioti No�j�'..�j.. Date...........t�.-�.........................19..(. �Z <br /> T:�stall.. . ... inch water service pipe <br /> vy . % <br /> ... <br /> .............. <br /> For .......�7..:..�.. ........_�— �.:� :. �zr.F.r�... . .. ��� ............. <br /> . ....... <br /> � . .. , . <br /> On ............... .... . ............... .. :... ..... . ........ :c..�............... Street <br /> 69a/f �'�o, L?a�v rc <br /> Lot.....................................�.. ..............�`Bfock �o..................................... <br /> Addition .......................................................................................................... <br /> Remarks ............................... . . . ................... .. . . . <br /> .. <br /> . .... <br /> ................................... <br /> ....................._.................""....... rl.L.z.c,�..`�. :Stl..��................................. <br /> .............................................................................................................................- <br /> .............................................................................................................................. <br /> ............................................................................................................................. <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Size I <br /> --- <br /> .....................................................I Lead :,onneclion Complete <br /> ................................._................... Sad�ic Complcle <br /> ... .. __... <br /> .........f t......_... .. ...._..... .._....................................................................Pipe <br /> ...................................................... Scrvicc Cock <br /> ...................................................... Service Dox <br /> ..::..��........_....�. ........................I ...__.........._....�........................_...:_............._..._........_..__....._....._._. <br /> .............................................. ..................... ............................... <br /> No. Hours Laber..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X............... . ,� <br /> ..... ........................ <br /> ....................X........................ � �� <br /> ....................... <br /> Total ........................59.Ft. <br /> —"-- -- <br /> Re�aarks...�...:.................................... ................�y. ..�:........................... .. <br /> " � C� " � �: �..(.�..:Pr....1..c:!.:� <br /> � . � . . , <br /> .. ...... <br /> ���. C'O� P-� Cw��,.:..._5� � <br /> .c�-:..c( ........./�(........�..../...... ....:.......................... .`/ . .....�.j . / <br /> �Ocder?4Ecciecd.....�...... .7.... .��...�.-....�..�........��l..T.X......5.4.�.1..� / <br /> l l <br /> )Vnrk Completed.................................................................._..__.................. <br /> F61'�mu�__ <br />