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5.) Yricbe4M7-4���0� .. . <br /> N.D.Form� , r <br /> �CITY OF �EV�RETT--Water Dept. <br /> . ,. <br /> i.., � , :_, .�� . _ h / , -. <br /> Application No..G.:�.I_..�-'.:. Date_. _:f-......._-"`---.----.......18�:..i <br /> 3i, �, <br /> Install...._..::.:<..................inch water seraice pipe <br /> For ..................�...._..........-----.....�...... .............,.....................-�--�Street <br /> ; / -;-. <br /> � �� ' %��'r .;, <br /> OR ................."............;................. ...............,....,........._................... <br /> ' ( ,� <br /> , L�ot......._...........__.C:...�:-...... ................. Elock No.__c.�J_.:�.cc................. <br /> Addition ...............................�. � :.,...................,`_...... ..... <br /> -� ... <br /> ................ . <br /> ' - ; / <br /> Remarks 1...=_!:.............�_'..'..L.-�:.:.r..._..::.�:"..e�:_....._. <br /> .......................... <br /> ................................_........... ......_................- ...-- - -......__......._.._. <br /> �.._�,,,..� J ............. <br /> < 4P'��1s..._.............._........'._r._......:.....�],......_._... <br /> .. . . <br /> .�....`.. ...... . .I <br /> � .V / .............. <br /> ., .._�.......---�..r.t:...<:1....,._.......................,..'�c:ift�':�1...>.:.::�'_................. <br /> 'f,-'� / _�,� . , t�.-. Superinlendent <br /> %�:i��y;.!;�N :•� �n:J� i f� �' _ _ <br /> � LABOR AND 11LATERIAL USED <br /> No. Size I <br /> -- --- <br /> , <br /> ...._........................................_.....i Lead Connection Complitc <br /> ..................................._................. Saddle Coinplete <br /> ...._..............._f t........................._. ....._......................................................._........Pipe <br /> ................_.................................... Scrvice Cock <br /> . Service Box <br /> .............................._..... <br /> .......--........................._............... <br /> . ....................... ....................................................................................... <br /> p ............ .......................... ................................................................................... <br /> No. Flours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................59.Ft. <br /> ....................X........................ ,� <br /> ....................... <br /> ....................X........................ �� <br /> ..........._.......... <br /> ....................X........................ „ <br /> ........................ <br /> Tatal ..._...................Sq.Ft. <br /> _------_ —.- --- <br /> /' ( ' ' <br /> Remarks......:1_..C..........�_,: � ' <br /> ........................................................................... <br /> ,� <br /> i <br /> .....................:........................ ...:......................................................................... <br /> ........................................................................................................................ <br /> O:�der Received.......---..............._.....................................................:._. ....... � <br /> �'v ork Completed........:....: ..:....:::........ ............_ ._............................_�... <br /> Foremain <br /> �� <br />