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�. a. ne�oc1a�v�� ' � � .. , �/'� , / <br /> M'. O. IORM ] �1 <br /> CITY OF rVERETT--Water Dept. <br /> Applicntion No.�.e�,�.'? � Date.. �,� '� ��r � � <br /> •-r•• „i�,....�.1......... ...........ls...... <br /> ;,_ Inst ..� __ . inch water service pipe <br /> For ......�.1�t:?.:..:�.,\.. ...��l...�.L�..�.::..� <br /> .. . . ............. <br /> Or. ..............�...�.�..... ..:..t_L:?._.:._r.�.c'.:.'.� . 0.:7:'y.. Street <br /> � - <br /> . �.�... ......... <br /> Lot.....:�.. ..._..............................._.._... Elock No.........---......................... <br /> Ac3clition .................................................................... <br /> ..................................... <br /> Remarks ....... ........................... <br /> ......---�---......r............_..............•---............... <br /> .........................,..>�!.!1...�1...,�.L1C.!!..:.--'---L.:..........--... <br /> .................._..' . . . . ., � <br /> ..................... .....................................""..............-'-......"'-'......................-_'•"'..... �� <br /> ..........._�..�.. .................................. ' <br /> _ .- ^ • •-._--........_.............. ..'...`.1......'.....---- <br /> ,::...... ,. . .. .. � <br /> . ... .... .---•�-._`.r}.�.....................�,.:.....�... �a_s»s.: L <br /> r^ �_ ..�' � - r..._ f <br /> - ';A ' ' �,- � . ? „ / �. ,� , , Supercuendecl4� ; <br /> � %-*'. <br /> 1 . � . <br /> f x,,,,,�'� ABOR AND MATERIAL Q9ED � <br /> No. ; � ` e I <br /> •����-�����•�•••••••-�••��• ��...�^..`:�:.............I Lend Connection Complete <br /> ..........._............. ........................... Soddle Complete <br /> � <br /> ................-:�t..ft._.... . , .. <br /> ,'l.f�.......___. __�...._�.ALc..........._.............................._..Pipc <br /> .....................1......._'.:..4.............. Service Cock <br /> .................._.............�......._........... Scrvice Box <br /> No. Hours Labor..............................................Cost..........._.._......_. <br /> .......................... <br /> Cut in....................Pevc:nent..............._...X......._......_....... ......Sq.Ft. <br /> _, � <br /> ..............._. <br /> ' ' - �� <br /> .;.i ,���V <.i:U< ................... ........................ ........................ <br /> /+ � <br /> V y <br /> ....................A....................... �1 <br /> ........................ <br /> ....................X........................ 1� <br /> ........................ <br /> Tot:il ........................Sq.Ft. <br /> � —'------- -- _ <br /> Remarks..............................I.��..�t.�.....:c� - ,._. <br /> „ ......_..._..................................... <br /> .� <br /> • . , <br /> .................................................]._..t::........_.:.<r..::..::.....1.....:c.:... <br /> ..................... <br /> � <br /> . <br /> ......................................_........b.....�.:S.l.i:..1.:...................................""" <br /> ............ / <br /> Order Feceiced ............................................................ <br /> i ` <br /> \4orl_ Campleted.:/....`-.�;r.:.:��; .��,:..:c.!.:::........_... / <br /> 1�� �./�....................... ...__ <br /> . S ��// f F C-.. (� T ��— Sr 1,�/„�/"" Foreman / <br /> l <br /> � � -�� /, lz _ 7 _-� <br />