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�. � � � <br /> 6 J. PRI[GL ]N 1� , � ' <br /> w. o. rowH � <br /> CITY OF E��ERETT--Water Dept. <br /> , . -- <br /> _ <br /> Application No..::...:.:_.._....... riaia........ ...:..:............:::..:::.....•--.19--'=- <br /> Install..........................._..inch water service pipe <br /> For ...................�---��---......._........ :..._...---............................_............................ <br /> .. <br /> Or. .................:j�..'..:r----�:f:=-....:..:'.::::..�?-c.-:........-�----....... Street <br /> � <br /> Lot..................._......c�:�.....:.:..-��-----._..... Block No.......,C...::.::-•--•---.......... <br /> Addition ...........................1�._.............................,`--......---.-...................... <br /> ; c <br /> n�_'Ii... '-� .........................i.11....::...A..........._:.�............................................ <br /> ..............................................""""'................"'......................""'".......................... <br /> ...:.......................:.i............:..........."""'""...................._...""'..............................'"' <br /> � � � �� '/ � . . .� ,�i/ ' . i <br /> . .........:....... . ' 1......................�......� � <br /> . � Ii• / �••/ � �...........�...... . ... <br /> .... /_.......................... . . .........r:.......�.:.... ,. � ... . .. .............. <br /> '�— � � � Superintendent <br /> /�-T:� . <br /> LAROR AND 11fATGRIAL DSED <br /> � No. Size i — <br /> ............_....................................... ..cad Cnnnection ComPlete <br /> ..................... ............................... Saddle ComplCte <br /> .. // <br /> .1t._. ... ........�':a„w.a...:.__._....................._............Pipe <br /> .3........ .....__............. <br /> .................................................... sem;cc�cocl: <br /> ......._................. Seivice Box <br /> :::::=:::�::::::::::1::::�:�::::: ::::::::: : ::-_: :::��: ::_:::::��: ::- =::_::::::::::-::::::::_::::::::::::::::::::::::::_: <br /> No. Hours LaUor..............................................CosL................................................... <br /> Cutin....................Pavement.....................X_......_....-.......... ........................Sq.Ft. <br /> ....................Y......................... ......._............... <br /> �� <br /> ....................X........................ ' �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----'-- <br /> Remarks............................................................................................................. <br /> .................................................................................................................... <br /> ......................................................................................................................... <br /> Order Peceived..............................�.............T.^.................... ......... <br /> � ........... <br /> \4or}_ Completed..:.............i::..�...:..__:.......:J , , . , <br /> _:..:_...t.........:...::t�;.:'........:.. <br /> � , , � Forcmnn � <br />