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�. _ . - /7�81- - n / c� <br /> w. o. roew a / —�l'���/� <br /> (:ITY OF E��ERETT--Water Dept. <br /> Application No...�:7.L..Q.�... Date........_^�....J.�....�'...Y............1�J...--- <br /> Iastall...............................inch water service pipe <br /> Por .................................. ............................................................................ <br /> o„ .......L:-r�.�i........ -�- ..: i�.r���.-............................... Street <br /> ...{r�. . .... <br /> Lat.............................................................. Block No.............-•-�-�-------........... <br /> Addition .......................................................................................................... <br /> Remarks ...............................................�----..................................................... <br /> ............ .. ............................................................................................................ <br /> ....................................................................�----.................................................... <br /> ................................................................................ .� � ----•--..........--- <br /> }...`....... <br /> � /t� �c.:f:?_5 .... <br /> ............................................................................................... .. <br /> Superinte dent <br /> .��C_2�[f f 4 / <br /> LABOR AND MATERIAL USE� <br /> ..._Nu. ........5� e � <br /> ._. ..........�Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t............................ ........................................................................Pipe <br /> ..................................................... Service Cack <br /> .............. ...................................... Service Box <br /> Nu. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................Y......................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- -- --- <br /> Re m a rks............................................................................................................. <br /> . .......................................................................................................................... <br /> ........................................................................................................._..............---.. <br /> OrderRecei��ed.......................................................................... ................... <br /> lVork. Campleted......................................................................................... .. <br /> Foreman 1 <br />