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3 �-� �'. ,.� <br /> S J �riebvlM'/�iG29;5` � <br /> w.i� rorm i _ <br /> CITY OF �VERETT--�Water Dept. <br /> � � .: � . �/�C: <br /> Application No.._.::.................. Date.....:.:........---- ....... ..............19...--- <br /> Install..............::.........._....inch water service pipe <br /> For .......................................:.<...- .-•.....--.._._..: <br /> ,� . . <br /> ,. ..,�......................Street <br /> On ...........L::/=::...L�._.....'_..::........_............. <br /> ............................. <br /> Lot.............. -............._-- ..........._......... Blnek No. --....------.......---�--• <br /> Additian ............._......'- .....- -...........---._�...........- .............................. <br /> Remarks ----....._�.....:...:.....-`...:...... -:....._......................-----..............- -- <br /> ...................................._.............._..........................._.........- -- -------...........-- <br /> .:_....'.._..........:..........:L..!...:........_..:...: ,. <br /> ...................--.._..........._.....•-- ... <br /> ��---........_v........ <br /> -- � l�'" ...................._--.................... . <br /> ..-`..............--..._..... <br /> _......... <br /> .�;2,. G._-: "• <br /> 5 ...- :�'.................... ........................................_...........:. <br /> ' Superintendent � <br /> �i'-• �__ .+ � � <br /> __—� �� 7i � . <br /> LABOR. AND bIATERIAL USED <br /> No. I Size <br /> --- — --- <br /> -`-...._............................................� Lcad Connection (,omplete <br /> � ...................._ft.l........................... Gaddle Complete <br /> ......_..........:.... ........_.............................................................Pipe <br /> ...................................................... Scrvicc Cor.k <br /> ...................._......................_......_ Srrvice Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin_._...._._..._Pavement.........._........X........................ ................_......Sq.Ft. <br /> ....................X........................ �� <br /> -'...................... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- ----- <br /> -------_-----_-_= <br /> . . - <br /> i�emarks...i_-ri...'....'.',�.... <br /> .....................:................................� ............... <br /> _......._................._......................._._...... .._............_...........- -� ...................... <br /> ..................._..- --........_..............._........................................_............ - ..... <br /> OrderP,eceived_..................._..........._............._...... - � ... ................. .. <br /> � -. ,:. <br /> ��r � � <br /> ,�orlc Com.!e±ed..:::.-=:'...:�.::. ` ......_.. ......... <br /> r a...:.:............................ . ..... <br /> Foreman <br />