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4. .1. PRIC6C ]M ����� I� � �1 � <br />W. 0. lORM ] U �I �- �� <br />CITY OF Eti'ERETT--Water Dept. <br />, ,, :- <br />� __:� / � <br />Application No ............... - .. Date........�_.. ..�-:2L�.....L..........19UJ.� <br />Iastaill........_ ................'� .inch water service pipe <br />For .. . ... <br />... ... -_... --..... .. . ................_...- -- • - - � - <br />.. �... ... <br />On ..-�__��1..::�.tJ'.-1.+J-{:n� ..............:....................._... Street <br />Lot.......................... - .._..............----..._.... Block No....__._............_ - -........ <br />Addition...................._.......................................... - -......--....................-- - <br />Remarks..................._._- - .................. .................................---- .......... <br />.. ........ . .. ..... . . ..... ........................... .............. <br />� : �._, i� � <br />r,Cr—... ... e� � ' ................. .... .................... ..............__........ <br />.............................:........................................................""_'................................. <br />� -- as-- ;�'/ <br />...................... ...�:...-.......__....................... -.............................----...... <br />� Superintendent <br />LAROR AND hIATEHIAL USED <br />No. I ic � <br />_ . . ._ _..—. . _ —_—. _ _ <br />� <br />...._._. ...I ................. ( :.�ad Connection Complete <br />_ ......................._:.........._...__.......� Saddle Complete <br />.......................ft. ........---................ ........................................................................PiPe <br />...._ ............................................... Service Cock <br />................._......_ _....._........:......... Service Box <br />Nu. Hours Labor.._....._........._ ........................Cost...._.............._........_................._. <br />Cutin_......._.........FavemcnL.._ ...............X............._......... .._....................Sq. Ft. <br />` ' . . ....................X........................ ,� <br />................. ....... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />...... _ _ .............. <br />Total .............._...... .Sq. Ft. <br />-- -'---------- -------� <br />Remarks......................................._..............._.........._..._....... -- - -- ........... <br />_ ........_..........._._.._ ........... ............... ............................................................ <br />............................................................................................................................. <br />OiderRecei�•ed....._ ................................-.............. --...._........................ - <br />\Vork ComFleted . ........................................................._....... _.... / <br />Foreman / <br />( <br />