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s a nar .,_z A�—../j� . . <br /> ' '�� i� <br /> h'. O. �09M � <br /> CITY OF E�'ERETT--Water Dept. � <br /> � <br /> App!ication No....._�:•�!.-..'. �. Date_.......:'..._._.:....-,,--......�..._.19::�.,-. <br /> In;tall .........=��Z..._......irch water service pipe <br /> For _....__.CC.........�..:=..:....:�.:. • :...=:...-�.__...... <br /> _._.................--.....__. <br /> ... <br /> ��n <br /> , <br /> ;. . .'✓ .� .� ..... S;reet <br /> c.. .... .....::. ........../... . ..�......:..... ....:............................. <br /> Lot.......................-........................... ..__. Block No...._.......--.....--............ <br /> �r;d;tion ............._..........___.......... ....._...._..._.. .__._......................... <br /> __._.. <br /> . / i <br /> remarks �:.....: , . � - r � <br /> ...........r.:::/.:................:.......:::. ..... <br /> _<_�.. . .... <br /> . . . ...... . . <br /> , <br /> ...... <br /> _ . _ : •.� <br /> .......,....._�_..._. . <br /> -............................_ .......:_.... � ...._......'..Y....:.......-`.......... <br /> , . ., . , __ .. <br /> � <br /> �.�a�-...:, ,: .;�. ..... .. <br /> ............................................................... . ...................... <br /> / 1 � <br /> � ikuit ..�.. .. ......................... .... ............` ` :.:�... <br /> C� =nT IT <br /> �- t.....� . . ......... ........ ..... ...,.�.:' � <br /> �� Supermlrndent;� � <br /> LA60R AND �1ATYiNIAL USF.D <br /> No. Si;:c <br /> ____ . __ - —___ _ —_ . .. —_ ._ —_-- ___.---. <br /> . . . _..� c �a Cannection Complete <br /> _ ...I -iddlC ComPlcic <br /> ...........� �St.....:�... . . ... <br /> . ... ........ . . ....._...... ...... .. .....__......__..Pipc <br /> ._..................:.........��'.::�::......__..I Servicc Cock <br /> . ....I Jl'::ICC �OX <br /> ._..................�_._................._.. <br /> _............_........................._...._._� .. ..................._......._......_...._................ <br /> �rn. I[ours I.abor......._._.....................__......._Cost......................_............................ <br /> C•.ri in_........_.. ._.Pavcsi,znt ..__.__...._.X....................... ......._........__. Sq.Ft. <br /> , : . , �. <br /> ;<, <br /> . _ ,: ......._.._._....X._.........._......... ......._............... <br /> � ' , � _ � ....X........................ <br /> ; ;, , . . �,�,, 7.. <br /> ......... ................._..... <br /> _ ; . . ......... ..... ....x......................_ „ <br /> . _...... <br /> :� �L ? .a.,.<I: .., � ' ���,r .,' Totat <br /> ........................Sq.Ft. <br /> --__-- �—�------�-------------' — <br /> �,,, .� c: , , . . . <br /> -- <br /> I-�..nails....._-..............................1..._�:..__ �...:......:.__... .........................---...... <br /> . <br /> " �„ . <br /> . ..._..... ..._..................._....._......_.�._.:..:.._........:...:....:�.._:......._....................... <br /> - . . <br /> ................................................:i_....�.:........................................................... <br /> Ordec ;'eccit•ed_.................._ ........... .._._ _._........... .......:_........................ <br /> \'vnrt: Comrleted.:.._:....,'_.. .. .:::._.�.:......._.__._..._. ..�_..._._:. , ._.__....._.._. � <br /> Foreman <br />