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� <br />• ./r ' J <br />w. o.'ronH �y/ " � / / I� ' � — /(n i k' <br />CITY OF E�jERETT--Water Der,�. <br />� <br />, n�ar, i iss2 <br />Application No../...%a3.�!. ... Date ................................................19...... <br />l l` <br />lastall,�...` ........ .. .... inch water service pipe <br />�::1: �-....�..... .; .1 �_� ........ ................................ <br />For . .,�.. . _,�%/� . . . <br />On .....-�i..�./....��:.......�:'t�.J�'.s::.�'........._ ............................ Street <br />Lol.............................................................. Block No................................. ... <br />Ad<.iition .......................................................................................................... <br />Remarks.......................................................................................................... <br />_........_ .........................--_........ -........... -................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Siz. <br />— --�--- <br />.................I L��vd Connection Complete <br />................. :ncdle Complete <br />................. ..._ _............_..................................................PiPe <br />... ............. 5crvice Cock <br />................ Ser✓icc Box ' <br />...........................� ................ ........� ....... <br />No. Hours L36or .............................................Cost.... .............................................. <br />Cutin..........._...._PavemenL ...................?:_........ ............ ........................SQ.Ft. <br />....................7i. ..................... �� <br />........................ <br />....................::....................... ......._............... �� <br />....................X........................ �� <br />........................ <br />Tatal ........................Sq. Ft. <br />---- -------- - <br />Rema rk> .................... ................. ...................................................................... <br />......................._............................................... __..._.................._......_.._. <br />_._ ........................................................................_.......................................... ' <br />OrderReceived.......- .. ..................._. - ......................................................... � <br />\Vock Complc;ed..._........_ ..................................__........_.._...................... <br />Fareman <br />