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2 _ . �r. �� <br />� . �13� 1 <br />w. o. roqH <br />CITY OF �VERETT— Water Dept. <br />. ,�.� l,l� - '. <br />Application No.f�' �"/ '�'..: <br />........:............ Date......,...... ..l.r.....�..�..-....19.�-:_3 <br />Install...:h�`.�....�........inch water service pipe <br />� ............. <br />� or ............� ....... .....................:.........�..............: - .....� .._...... <br />�:-.. �Co � ,,� c..� c �( �� ... Street <br />On ...................--....:.........:-.....:.....................................................- <br />, Lot .............................................................. Block No.....---............................. <br />.. � a.� �ition ........................... ....... <br />.r�. .................................................... <br />............. <br />Remarks .....................1.:..�-C:L2.G.lL.Y�:,.......—:......__...^"'........"""" <br />��� .�. <br />1-� o .�- <br />... .......................................,-.................""".......................................... ...:..."'"..."" <br />.........................................................................'""... _........................'""'"'""....._........ <br />No. <br />..... .. . . ...... ..... . .... ..... .... .� . .C�.......C.......'"'"""""'" <br />�.� �'� ,L� . <br />. . ............................ . ........- •-�---• <br />Super' tendent <br />LABOR AND hiATERIAL USED <br />............_.._......I Lcad Connection Complete <br />........................ Sad�le Complete <br />.� i� r.. . . <br />.:.::...:..:............ ....:.....::...........................................................Pipe <br />..�! ...:::::.......... S�rvice Cock <br />.__....-_-.,......... Ser✓icc Box <br />No. Hours Labor ..............................................Cost............ <br />Cut �n......._........._Yavement..........._.......X......._ ............... <br />'I ` ' <br />,.�� �, � :�. . . ....................x........................ <br />� .. . <br />....................x........................ <br />Tatal <br />........................Sq. Ft. <br />...................... �� <br />........................ <br />........................Sq. Ft. <br />Order Received ......................_........_.....................................................--.... � <br />. , " <br />\Vork Completed.I..:::�7.�...`.G:_��.-.--....... ��7...L_�,�.,�.:� ..................._. <br />Foreman <br />