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�� � � `/ ' ✓ � . <br /> 5.J 7jie6e4k 7_4629' � � � , <br /> W.D.Form 3 <br /> CITY ,GF- E��ERETT-•Water Dept. <br /> � � / <br /> f, , , <br /> Application No..-^--�_4�..h..... Date.-- ................._.....I.. .-�-�--�-1�-� <br /> i . . <br /> Install......:......__._..:....-....inch water service pipe <br /> /� <br /> -'....._a_,_.........�.:--,;:............ ............_-'--•-,,.,._.......................--- <br /> ; i <br /> For .. - ..:_'. . <br /> J (J `� �- - ....�._-................_:.:......::'---_...._.......... Street <br /> On ........._........ <br /> Lot..................................... ..................... Block No......_................._.......-�--- <br /> Addition _..- ............:>......_ _ .................................................................. <br /> Remarks � ''r , , `, "� <br /> ......_.......�........... - - ........_........:�,.__.._............................ <br /> �,...._....,..._ ..............--..................._......................_..- .................----- <br /> ,._ . : • . <br /> , .......................... <br /> _._.....,:�.....:._.:�_..__.............. - ................................... <br /> , <br /> ._ . .................. ......................... .:.....................--- ' <br /> ....... �f.....:r.� ............. . <br /> .._ � � � <br /> .........................'""""..............................................................r:""_.'"'"'""'_"'""""....""'" �.. <br /> Superintegdent�, <br /> � <br /> LABOR AND 11IA.TGRIAL IISED <br /> No. i Size <br /> -�' .....---� <br /> ........................................_..... I, Lead Connection ComPlelc . <br /> .� Saddle Complete � <br /> ..................................................... <br /> .........._...........ft..................._...._.I ..._............._.........................__......................PiPc <br /> ..................................................._.j Scrvice Cock <br /> ........................_� Servicc Bo:t <br /> ........................... . <br /> p1o. Aours Laboc.............................................Cost.................................................... <br /> Cutin._......_.........Pavement_........._.......X........................ ........................Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> ..._..............X.............._........ ,� <br /> ----.................. <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — -- ---- <br /> Remarks...._..:::..�.........:.:.................:. ....._..........._........................................ <br /> _._....__.. .........................:_....................._..................................._.. --............. <br /> .......................... .......................................................... ....... .......... ............. <br /> OrderReceived.........................:................. ........................................:....... <br /> \Vork Compleied.. -' :....=-...r.:....._::,i:...::..................��. <br /> . ......... ............... <br /> Foreman <br />