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iFo y'a� ; <br /> P ''�' <br /> � _ <br /> e. .L PRItwL ]M L•6� 1 � � � � " / �/ <br /> W. D. IORM ] I <br /> �� ` ��ITY OF E`�'ERETT--Water Dept. <br /> ,_ , <br /> �i � �r ��.- <br /> ;�` APPlice.tion ATo......1�/O.g Dat , .. .......� ..�3. 19.•5.'S� <br /> ./............ _ <br /> . ...... . <br /> E '; , : ' lnstal] . '3�?` ch w er service pipe <br /> For ...........��itT.t/..a.....�jy'.�.�A.-fJ`',`.A.`.�................................. <br /> On ..............f�.��......[.il..4-`:zt(�z1........................................ Street <br /> Lol..............................,: .�Block No........_:��....... <br /> Addition ............._!....�....�.:.......�.......-•-"-�--.._-`"`�................��5� �--............ . <br /> I?emarks .............__�%�:?�?-4:,cL.L'.Qi.....�1.'i.(?:GCL.._.........._�.,::?��v.._c�2J <br /> `��1a, •--.._........... <br /> . <br /> .�r,....`.......�.�= �-�-�....................................................... <br /> ; � ���,aw:............... <br /> , <br /> , <br /> .�......:...,--...............,,-..... a� .............................................._......._........... <br /> ... .... <br /> ,- - , ,, • <br /> , <br /> , _ �7. <br /> � .,..':-;::".............................................................................. p . <br /> ` � .... . <br /> . _ . �� �..�...� <br /> ��::....f,..,;.... .--�s- 3......................................... .�..�..........:........ ..... <br /> �....... ... � <br /> � <br /> _ ; � ,7 Su erintendent�,1� <br /> ��C� <br /> LABOR AND MATERIAL OSED <br /> No. Size � <br /> —.—_' <br /> ...................................................... Lead Connection ComPl�te <br /> ..................................�.:................. SaddleComplete <br /> ................�.St._......................... ........................................................................Pipe <br /> ..................................................... Service Cock <br /> .................._........................,......... Servicc Box <br /> No. Hours Labor..............................................Cost.........._....................................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X...................._... �� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> -------- <br /> Remarks.......................�---:........................................................................---...... <br /> ............................................................................................................�---........ <br /> ......................................._..................----...........................................----•............... <br /> OrderPeceived............................................................................................... <br /> 1Vor1_ Campleted.....:..........:......:!........................ ...:....:._..........:.............. <br /> : Foreman <br /> t . <br />