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r ' ����� �. .... <br />r� <br />w, o. ronw a ~�'�,l / �,i �� <br />CITY OF E`jERETT--Water Dept. U <br />��- -�; .� � _ <br />Application No..:......-'....:-'.... Date........:.�.......� .........................19�:� <br />lnstall ...............................inch water service pipc <br />For............................. . . . ............. <br />� �I .. ... .. . .... t 4�::.�:..: :`:.:.... <br />..... .�.......""" ....... ..................... ................... <br />On.......:..�.�1. : ... . ........................................... Street <br />Lot.............................................................. Block No..................................... <br />Addition.......................................................................................................... <br />Remarks ......- ................ - - - ---- <br />Superintendent <br />LABOR AND DSATERIAI� USED <br />No. i Size I <br />..........I Lead Connection Complete <br />..._.... Saddlc Complelc <br />...................... Scrvice Cock <br />.................. ............. <br />...................................................... Serv..e Box <br />No. How�s L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />� ...................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />6 Remarks ........................................................... - <br />.................................... <br />OrderReceived ............................................................................................... I <br />\Vork Completed ............................................................................................ <br />Foreman <br />