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S 1.Pric6e4MZ4e�:%� G � <br />W. U. Eorm 3 61 <br />CITY OF EV�RETT--Water Dept. <br />ApplicaiiunNn._..:--._........... liate ...................._---�---....................,...... <br />Ins:all ...............................inch water service pipe <br />For � ........_.._ .....................------ <br />..-'---.. _ ................... _............_--------........ _.... <br />On ......:........:.............................._..... --........._. <br />.... ...:................ Street <br />Let......._ ................_.......... --................. Block No................_................... <br />:�ddilion ..............__...............................................--_.....--.....................----- <br />�emarks .......................... --............._...... ......- - --._................................. <br />..............._.._...._,.......................................................................--- ..._......... <br />, i. - <br />. <br />, . . .. � ..::.c.:......._...._..--�--...... , <br />, J � � .! ........ :......:.:...'- <br />.......................... ..' -- --.... _ .................. . : <br />�. � . . ' i� .� . <br />.,. • . ` .-- _.-.--._ _.'. <br />r- Superintendent <br />....:..--'----....._ ....................._._................._..... <br />LAI30R AND MATERIAI. UPED <br />No. �, Size --- -- - ----- <br />-- -- - <br />_..........,_.._ .. ' Lcad Connection Completc <br />............................ ....i <br />.._.......', :=�ddlc Complete <br />..... e .................................. . <br />....................._ft....................... ....I ...._............_......._............_...._..........._.. _......Pipe <br />...... .............................................. <br />Service Cack <br />3crvice Box <br />_ ......................... ........................... <br />.. ............... ............................................................... ... <br />. .......... .............. _................... _..... _............. _.................---......... ..................... <br />Nn. Hours L�bor...._._.....__._._ .............. <br />.......Cost ............................... _................... <br />_......._.........._59. Ft. <br />MCut in........_........_Pavcment..__.._..__.._.X......._..__...__ . , <br />...................X......................_ ....................... <br />� ................. _X...._.............._.. ........................ <br />�� <br />� ........................ �� <br />....................X........................ . <br />Total ........................S4. Ft. <br />----- <br />. ... _.._...._ ......................................---......_.. <br />,,.--.� ___ - <br />_.. _._ _._....._ _ ........................................................_. __... ............--------- <br />Orderiteceived_ ...........-- ............._...._...._................_......._...._- .......... 1 <br />, _. <br />'.l'ork Cmitp'.c.ed........_ ..................---..........._................_........_Foreman <br />