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5 J P�Sebc�M/r 455� �r� � <br /> W.U.Form 3 7 -� . �-� � , <br /> CITY OF �VERETT-.Water Dept. I <br /> Application No.......:............_:.. Date......................... ' ' `. <br /> ..............::.......19.��d <br /> „Install................................inch water ser��ice pipe <br /> / ' <br /> Fm• ....................�. . ' <br /> ................ i . <br /> .................._ .. . <br /> ,� .. ...�......................... � <br /> On � ....:................._... <br /> . � � � <br /> .............................:......:............................. .. . : -..:..:._:�,�..... <br /> �� � � . Street <br /> Lot.......................... ........................._ _.. Block No.._....--•'�-:�5..:............. <br /> AddiLion ............................................................. <br /> ................_........- - ....... <br /> iiemarks ..............._ <br /> ........................................................................�--............... <br /> ................. ..._..................^_.__.-........... <br /> __.__.. <br /> ....._............:.�_...................:. - <br /> , . ....--��. ............_- -- --��-- <br /> , � ......---•�-----...._...- <br /> ,:•��" ,> p - . <br /> _'�..1!if.,��.... �.\................ ', ....'."_.......... ......""_ <br /> ! .,� ~ , ......._--�....�. '... .......... . <br /> �;e ` ' -,jr�l�, � � Superiateodent" <br /> � <br /> ' i. <br /> � � L BOR AND MATERIAL IISED <br /> N�ze , _ <br /> , i <br /> ...................... '. .................I Lead Com�ection Compl?te <br /> ����-�� � Saddlc Completc <br /> .......................f t............................� <br /> ......................................................................Pipc <br /> ...._................................................ Service Cock <br /> ._....._........_...._................._......... ScrVice Bos <br /> ............................................ <br /> 'do. Hours Labcr..................._...._...................Cost.... <br /> . ........................................ <br /> Cut in..... ... ... . . ...... <br /> _ . .....Pavemenk......._..........5...................... <br /> � .. ........................Sq.Fl. <br /> �,1„ ' i _..................X._..................... <br /> � + �. r� ..... „ <br /> - ................... <br /> / .' .................X......................_ �, <br /> , ................. <br /> / :� �` �f tj ............... Y.........._ �. <br /> ,� . ............ ................_......Sq.Ft. <br /> �,: .... <br /> Totnl <br /> -------_---` ........................ <br /> Rerr.arks..�;..........:?.!..i..:. —. _ _ <br /> .................................................................................. <br /> ........................................................................................................ <br /> ..................................................:. <br /> ....................................... <br /> Order Received..._........... <br /> ........................................................................ ... <br /> �Vork Con,p]eted.......:............._. <br /> ......................................................... . . <br /> Foreman / <br />