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� �� <br />�'��� i �J � <br />w. o. ronrn } / - . ' �/n, <br />CITY OF E'�� ERETT--�i�'ater Dept. <br />�<t� � ,.: . a <br />ApFlicatt6nNo.//.�,7./..n Date.......::.:°.�_._�.:6G .............�' 19..._. <br />; 7nsta1l .................. . im'� w:iter service pipe <br />T. _�,f <br />/� � . / ./ / ,� <br />FJC _��G.G.l../.-�i�........, _.�.�. 5� -%li���l.L.!Ti...��.'....................... <br />On ..........L�....��.Os.....�7�..l.._'C�.�-:�<.:!�N........ - Street <br />Lot........_........ _ <br />L C>il\,�G)f�3.L^'.U..... Blocx No......-----� ........................ <br />:lddition ......._._ ....................._.. ......... - -................................--............_ .. <br />Reirarks.....__ .........................................................................._-•• -• ........---- <br />No. <br />........................... <br />........ ........... _ . _ _ . <br />.......- . ...................... - - - <br />..........' ................... ......... Superintendent <br />LASOR AND 111ATERIhL USED <br />Sizc I <br />-- -- <br />,_...._......._�:.ead Connection Complete <br />........_......_ Saddlr Completc <br />................. ......................................... <br />................ Servicc Cock <br />................. Ser'vice Box <br />......._...�.....I �........��..._.� �......._ ................�. <br />.............. <br />No. Aours Laboc............_...., <br />Cut in ....................Paveaicnt. <br />....................... ay. Ft. <br />......._ ............... �� <br />..................... ......---..... <br />........................ �� <br />....................X........................ ........................ <br />,� <br />Total ........................Sq. Ft. <br />------" — <br />-- <br />. .........................................._........ <br />Re�nar s ......................................................... <br />...... .............................. .. <br />Order Received.._._... <br />\Vork Completcd...... <br />Foreman <br />