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�. a. miu� a � � /^� � �, � <br /> w. o. r�nw..�� �� ' <br /> C Y O E ERETT--Water Dept. <br /> Application No�43S.�... Date......�..:.....�..�.J....'......---..19..�.��?" <br /> Instull.....�'�..��...............inch water service pipe <br /> � <br /> For ..........................................._....._...._......................................_................... <br /> i <br /> On .............�_.�(.'..�_......�:-:..:�t�?:t_..�.f..`:.... Street <br /> Lot....--��-------....__.....=............................_... Block No..._...._.•-•--._..........._.. <br /> Addition ........... ......................................................................r--.............. <br /> � [ <br /> F.emErks .i`��. �:r:1.t.....�:,�:'r:t_'z::�:�..�....:...�''��i:.��-4�',.... <br /> � ...l. �......:�........ / . . <br /> 4--� 'l.� S.�II���L......��••!`�Cl. "C 2r �i„"....."".."...._... <br /> .....�C!.......... .... ........................ <br /> ........................................_...................._................................"""............."'......." <br /> ............................................................................ ....y. 1 <br /> � CLGYs..C.. <br /> ..............."•"-'... ...... .'•"'....:.........._.................. <br /> .............................................. Superintendent <br /> -G��-- <br /> LABOA AND MATEAIAI� 3ED <br /> No. Size � <br /> .....,,_.._................................... Lead Connection Complete <br /> ..._.. ........................�....�...1........ SaddleCampletc �1 <br /> .....�Z......St._......._5.!..�..... ..................................._...._��j/.:....�.—...Pipe <br /> ..... � <br /> ........................... ......................... Scrvice Cock <br /> .................. <br /> ................................_.. Service Box � <br /> No. Hours Labor..............................................Ca�i.........................................._....... <br /> Cutin....................Pavrment....................X.....-----...._....... ........................Sq.Ft. <br /> ....................}' .............. �� <br /> ...._......_.._....... ..._.._. <br /> ...................X....................... .� <br /> ......._............... <br /> ...................X........................ �� <br /> Total .l.........._.......Sq.Ft. <br /> ----- <br /> Remarks............................................................................................................ <br /> .............................................................................................................�-�--........... <br /> .............................................................................................................................. <br /> OrderPeceived......................................--.......................--� --...1..--............. ` <br /> /� �o S (�J' .( l�cc..� �` <br /> �Vor�_ Completed...---.....4�.:..............V.................................................... I � <br /> Foreman 1 <br />