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S.1 Prie6e1M7A61� � � �.�- • " <br />W. U. Fonn ] <br />CITY �F �'VERETT--Water Dept. <br />l�; <br />Application No ......................... Date........... -.........:.........::`....::..19�.�"� <br />InstaII .............:.....::...........inch «�ater service pipe <br />For......................................................................................................... <br />....- --- <br />— .... , . . <br />On.........................._:....:......:.::_<:............._.:.:_.__.....:.:.:.......::..._... Street <br />Lot..... -- ......................._.................. - Elock No.....-- ---.................-----• <br />Addition....................................................... ................................................ <br />Fiemarlts........................................... <br />........................................�---..... ........... <br />z <br />� ...'_�.-.�_ . . .: ." " ' _ <br />Superinlendent <br />LABOIt ANU BIATERIAL USED <br />No. i Sizc I <br />.......I Lead Cmmection Completc <br />.......� Saddle Completc <br />....... .................................................... <br />... Service Cock <br />...... Se. vice Box <br />............................_ .�. / I . ��...'... !. <br />...... -. .....;r..7 /�......._; <br />.... _ ..................... ............ .............. ...... _ ..'.:: ...-.:.. i.. � <br />........................... _......................... ............._...._...._..C.. <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 />Remarlcs..............._............_............................... ........................ --- - - -- <br />.................. .................................................................................... <br />CrderReceived ................................................................................... ......... <br />\York Completed .....:........................_..........................................._.......... .. <br />Foreman <br />