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W�DPrmJM"/./6� � �� L , . . - � . . ' _ <br /> CITY OF E1�ERETT-- �'� �� �� <br /> , Water Dept. <br /> , <br /> , , , <br /> Application No............:...`::.:K: Date...,........... / c?. /r � <br /> a � . .......................�.....�19.i_. / <br /> � Install............::.'.:7.`/....inch water s�rvice pipe <br /> For . �%�.....L..i...: .:. . , <br /> , � <br /> ...................��-.... <br /> - tl?........................................................... <br /> On ...................�.� 1.��.........r.:.....i. .' . �. <br /> .................�....c..------••---.. Street <br /> Lot.............................................................. Block No........_.........................._ <br /> Addition ..............::.............. <br /> ............................................ <br /> �, .............................. <br /> Remarks � � ^ ' " <br /> .............................._._..:..:.n_S_....................:....:z.1�...a::...:�c�_ <br /> . , <br /> .. <br /> ...............�;...................,.................a � <br /> � . .............1......................."'................a.:...... <br /> :-.)'1:1::,.....�:t. :'.�lt ' � �.. <br /> ............. .. ' I" � <br /> ....._.......:.........._............... - <br /> ./ L ......1.�L..._.�....4 <br /> ...........,_.... �af.................. .. ....... <br /> . ................................................. : ,, <br /> �¢...a ....._............�.;...� <br /> ,._: <br /> ....... . �� ,: , , . <br /> . . ..\........���,...................................................._:�..:..:.. . ; ; :, , <br /> . �I� Stilperin�ndent � . <br /> �1 �_I <br /> \J LAB08 AND MATERIAL U&SD <br /> No. Size <br /> � -- __— <br /> ...................................................... Lead Connection ComPlete <br /> ...................................................... Saddle Cample•x <br /> .......................ft............................ ............................Pipe <br /> ......................................... <br /> ...................................................... .�Jcrvice Cack <br /> ..................................................... Scrvice Box <br /> .........._...................................... <br /> �� <br /> No. Hours Labor..............................................Cost................................................... <br /> Cut ;n. ..............._Pa�•ement.................._X........................ ......................_.q.Ft. <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ' --- <br /> Remnrks........................:...... -- <br /> ........................................:.................................... <br /> ............................................... -_...............................:......... <br /> ........................................................_...................---� ' ,'; "'. <br /> ......._....:_r;...c.._.._.. <br /> .:..�.. <br /> CrderReceived_...._...................._...._..................................:....... <br /> � .........._...... <br /> \>ork Comple,cd...:.................�..:..:.................................................... � <br /> Foreman <br />