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1 <br /> ; <br /> 5 J.PrieFc4M 7d6195;���� ' . <br /> W.D..carm3 • / • , ��. ' I <br /> CITY OF E�IERETT--Water Dept. <br /> _ , <br /> AP.ication iQo....._:....._.......... Date.................. ........................-19-�---- <br /> Install ...............................inr]1 water service pipe <br /> i,�,. <br /> . ...............................'"""""""'""......._.............................................................., � <br /> Cn ........................... ........................................ � ............................ Street <br /> Lot........... ............................ ................ Blocl: No......_..........._.............- .. <br /> :lddition <br /> ........... ....................... -�- ..........--... ...................---� ....... <br /> ?�emarks ............................................ ....... ...................... ............................. � <br /> t-��- �.................................._..__.............-- ............._. -....._....................... <br /> ._. . , <br /> • , <br /> r:,........._.....,.�.�........................__....................._.............-- -��- --�-- ---- <br /> T . <br /> ,, . _..... :................................................ ............ <br /> � .......................................----- <br /> „ <br /> A� Y (.' <br /> i:.. ..................... .............. ....... ......... ............ ...... .......... . ................. . . <br /> Superintendent <br /> LAB02 AND 11IATBRIAL USED <br /> S:o. � Size <br /> ......................................................I' Lead Connection Complete <br /> ._..........................................._.....I Saddle Co plete <br /> ............�. . ft............�_.........._ (`.� ., ��r t .. <br /> �...... �� ........_.._.._ �....:�^........................................_Pipe <br /> ...�..,/�'� <br /> .._..........I.._........__.. 1..... Scrvice Cock'/ , <br /> .... .....� .. .... .�079..1_'!< �� SC'IPBBO% p�-� ( ee� <br /> � � ( �4 �¢ ��0•� . <br /> . ..... .. ......... . .... ... - <br /> � .... ....... .. ................ .. .. ......... <br /> . .... .. ._ ........ �� .... . ..��....��..�.<._:..._.�:c.....r_�:t. .�:.-: /.� r..... . ...._..... <br /> , . .. ...............:........... <br /> ................._................----............. ._...............i....................._...._......._... <br /> No. Hours Labor.._.� ............................_................_........_........ <br /> � T , - . <br /> ...._t:::cost.../.:.�.I <br /> ...................................... <br /> Cutin..............._...Pavement...._..............X_..............._.._. ........................Sq.Ft. <br /> l. <br /> !i .o ��� ....................X........................ ........._.........__ �� <br /> ,� o <br /> ...����1;i.�� ,,.- ........_........_X..................._... . �� <br /> ,I� ....................... <br /> , ,, � _ <br /> ....................h.-..--................ �� <br /> ^ <br /> .................. <br /> '� Total ......._............._Sq.Ft. <br /> — ----- ----- .. <br /> Remarks................--........................................................- � ......... -- <br /> ........... .. <br /> .......................................................................................... �-........................ <br /> ................ ........................ ........................................................................... <br /> OrderReceived......................................................................... ............� <br /> R'orl: Completed........-� -................._......_.............._.....................--......... <br /> Foreman <br /> � <br /> v <br />