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9.�. PHICBM1R r / _� J �'r <br /> w. o. roau o��O � " � , / ��` � `� . <br /> CITY OF E\TERETT-=JUater Dept. <br /> _. � -, : ,, � , <br /> : <br /> APPlication No.f'.�....� if......� Date_�:5:i:_:..:.:�.....................19.." � ) <br /> ' Ins ll...::..::..:::.................inch water service pipe <br /> .. , : . : <br /> For .......1. - ._:.:.:.. -:........':..:............................ � ................._---.. <br /> � .. _ <br /> 7� ' <br /> .............. <br /> �.1�; � a.��- .''-�`-`S.,-- Street <br /> On ...............C�..................... ........-----................:................. z--..... <br /> Lot...............1._..........._.... ' . IIlock i:o.....-•----....._...........---�--.. <br /> Addition %� <br /> Remarks .................................................................................------.............. <br /> /,., ,� � , r/J <br /> . �.P_..�..c...........------•- ._............................................... <br /> ... ............. . . <br /> Ci G........... ... . � <br /> � � . ..........................'-...................................._... <br /> � • ' <br /> ,�.C.......�.�...........:. ... ..,....... <br /> � . <br /> _ . .._ <br /> � ...:.....�......,.._�....::,r... .....................................�.Y.�.r..7...r_I.....J..............---- <br /> �..... i � .� v' �.! -. . �. ..� <br /> I <br /> ................ ................................ '�... . <br /> . .K........ � / <br /> �� ��� � . "� SAperinirtndent: � <br /> �(/�' � ` �( � ' ��1 <br /> .� l . r`= � • -r <br /> LABOR AND MATERIAL USED <br /> I , <br /> No. Size <br /> .... _......................................... :.ead Connectiun Complete <br /> ...................................................... Saddle Complete <br /> ' . .:.:..�...'.:.::....................................................PiPe <br /> .............J....et....�1.r_............... .. . <br /> .....................�.........%,l�:.:............. Service Cock <br /> ..........................: Servicc Box <br /> _ ...................................................... <br /> .............................................................................................................. <br /> ................ ... <br /> I <br /> .'�"'"�-�—...._.............. ..........._...._...__.._.............._.._......_......_........................._......_........... <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pave:nent....................X........................ ........................Sq.Ft. <br /> , � <br /> „ � .. ., , ....................X....................... .............. ...... <br /> . " J <br /> .�. <br /> . . . ....................X........................ ............3._�..... <br /> ....................X........................ �� <br /> ........................ <br /> Total ..... ...... Sq.Fi. <br /> ' -T / <br /> Remarks..................`�...._:�:c.:....:...:..`.::...:.........._............................................ <br /> � ji <br /> ....................... ..................:.................................................................� �--��--�-- <br /> OrderReceived........................................................... .. ......... ........... ...... <br /> \Vork Completed..:.....:........:.....:..........__....... ....�.:.:.........::..........__...... . <br /> Foreman <br />