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w. o. ronM R ����� ��—�_- . <br /> CITY OF �FVERETT--Water Dept. <br /> Applicatian No._i:�_5.��.� Dat .......,�:..�r;<.�;......:'�.�_ i — <br /> ... .........19.:::.. ; <br /> � � <br /> 7nsta1l....... `... .Y......''.,.inch wate�seivice pipe <br /> � .// —T—J <br /> For _!�-.--...... ��r`.......:.{.-..... <br /> .......................................................... ... <br /> . .. <br /> On .......:�._ ''.%....%��'..—,:..z:��:l:�r�.�................................... Street <br /> ......--- <br /> Lot.........<�J...—.........._............................ Block No.._l`:y.................. <br /> �dditio❑ ..._. ................................................................................................... <br /> t'�,marks ...::�:f::;:.-...:—:=�;K:�:" :...................._.................................... <br /> ... <br /> -�-�:._,_.!_—.Gf'' ._ ' : <br /> ........... ....s. .........�... .i.�_:�.: <br /> � ^.. . ��.....................................'----....._....... <br /> ..... ....!......../............................................................................................ <br /> ........._.... <br /> � I, <br /> �� <br /> ................;-...A1.h:..:. <br /> 1pV. • - <br /> � ...... �...._......._. .....................................................""'..."' <br /> � . , �1 LG �[./ <br /> ........:�....,..�".`�•I�K.-.��_..�r�........................._...........l.�.:C-.�'._/.��.-.t.:1:�.""'"" <br /> 1 <br /> , , y� Superinte�ent <br /> I.�1BOR AND bIATGRIAL USED <br /> ______i Size i <br /> o. <br /> r -.,---- <br /> - <br /> ...........................I....................__ Lcad Connection Complete <br /> ................_........................ � , .,�ddlc Completc <br /> ............I � <br /> ............a3...._ft......:�......i;.:........ ..............................................__.....................Pipe <br /> —��-��--�---- � " � Scrvice Cock <br /> ..:.............:.............. <br /> ....................:..._.�.....:.:.......�......:..... Service Box <br /> .............. <br /> . . <br /> ............................................................................................ <br /> ...........................�...._.................... <br /> .............................. <br /> No. How•s i.abor....._.................................._._Cost........................._......................... <br /> Cut in....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> -, � . � , . .................._7{........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> � Total ...._..................Sq.Ft. <br /> _ � ----- <br /> i i ; -- <br /> R emarks..................::.:..:...::...::..... <br /> .................................................................. <br /> ...................................................................................................... <br /> . ................_.....:........�:........................__......_............................... ..........._ <br /> Order ??eceiced.....................................__........................ <br /> ..............� .........._ <br /> \Vork Complcted..:.C..:...:...`� <br /> .,�....._................_....._._......:. ............. .... <br /> Fore n <br />