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1 <br /> b� ,i �m 28�� <br /> . 0. .L 1'NI[�[ • • <br /> . � M. D. IOqM � <br /> CITY OF E�'ERETT--Water Dept. <br /> r'r'w=/ ��-. � -- � -.........19:.'.% <br /> Application No........::........ ..... Date....—:.............�:.......... <br /> �,L <br /> . l / <br /> ��5ta11....;......'........_........inch water service pipe <br /> �� ' �� :....... ��.1�.`.. �"....... <br /> For ........... . . . ................ <br /> � �,3__:.,. '.. . ✓ ` <br /> - . On .�......n.:...................... k r.t�Y`f .:�..�..1L�:.:'•�C.��r.�Stieet <br /> ... <br /> � � � <br /> . . . ... .... ... � <br /> �.. . <br /> Lot........ ..........................................•----..._ Block No.................................-�-- <br /> Addition ... .. . ..�..–�.....' :.:..r......_ . • ..y.. <br /> . <br /> ........ .. .... .. .�...... .. <br /> , � , .., .. .... . .t. <br /> ; ,. . , ,, f !,, ...n.. .... <br /> Remarks . . : , . , �:l � � <br /> i . <br /> /� <br /> ............�...I.....................................:.....<.... .. .................... <br /> ........_ . <br /> -r-- ` - <br /> , , . ; <br /> , . .� _ <br /> .r........................... . : ,: <br /> ....................................... ----.:..---.......................................... <br /> ,� <br /> ................................................................. .............._.............._....... <br /> . �..�..._;�_' <br /> ��: ,-- . , , <br /> ........_...................................................... �-- ..; r ,� .� <br /> ---..._.... ........ .. . .............••-- <br /> ���' � uperintendeat <br /> ,r- • <br /> — � <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> .... ................. .......... :.cad Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................it............................ ........................................................................Pipe <br /> - ...................................................... Service Cock <br /> ...................................................... Setvice Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X................... ... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �, <br /> ' ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —`--- --- — <br /> Remark;.............................................................................�....�......................... <br /> - �. � , -y- / . <br /> � <br /> .............................. .. ........ ............................................ <br /> .._....r::..C.=.l...-.11.�.1....0..:.............................................................................. <br /> OrderReceived............................................................................................... <br /> \Vork Campleted.......................................................................................... . <br /> Farema <br />