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L V..POle�6�] p / � , � �' . � <br />W. �. IORM I <br />I��'Y OF EL`ERETT--Water Dept. <br />� <br />Applicalion No...:' ...:.:...:.:.: :... Date................................................19..._. <br />, _ <br />lnstall .......:...:..:..:::......... .inch water service pipe <br />• _ ............................................._-----�- -....... <br />Foc .......... ....'.........,....................-•; <br />On............_....._........' ..:................:.....................................__............. Street <br />Lot..................._.......---.............._......_......!Slock No.................----..........._.. <br />Adciiticn ............................. <br />F.emarks .....--• ................... <br />................... ...................................._...........�,.......... : . . ................. <br />� SZqperintendent <br />1 <br />LABOR ANU MATERIAL USED • <br />No. Size i <br />......... ...'---- <br />.................................. . I Lead Connection Complele - <br />..........- ......................___..............I SaddleCnmplete <br />n.......__ .................................._.....__.........._..Pipe • <br />...... ............. Service Cock <br />................... Service Dox <br />� <br />No. Hours Labor ..............................................c:oat..........._....................................... <br />Culin ....................PavemcnG......._..........X......._............... .............._....__Sq. Fl. <br />....................X.....-'---.............. ......._............... <br />�� <br />....................X........................ �� <br />........... ............. <br />....................X........................ ........................ .� <br />Total ._........_...........Sq. Ft. <br />— - --- --- r' . <br />- -- ---- <br />Remarlcs.._ ' l .........................._..: .........':._................................. <br />... ......... <br />... }' . <br />f�, r r <br />....:. ..... ...._ ... .... _ . _............;..�..1..._i.::._..... <br />............_ ................. ........ , . <br />,�•'�Y.-------....._ . <br />..........0 ......................................................................... ..} � ' <br />OrderPeccived....._� .......q................'....................__..?�..-----..................... <br />\Vorb= Cmn2;leted.i__..:..1...._':..'J'.�...�,...........- ............................................. <br />Fm eman <br />,� <br />