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w.o.ran�+,►3909 . , <br />�� r <br />CITY OF iVERETT--Water Dept. <br />. oFr..._'....ic�� <br />Applicalion No.i..:;.. J...�,'..:�.. Date...__...... .... ...........19...... <br />, Install ...............................inch wa'er service pipe <br />P•or '� l � J.�..s-s.—'.:::..:"_ ..:.............. <br />............. ........ ... .. ............................................. <br />o„ .......................:..-=--;:..._3.2..1.8..-.M.�K�.I.teo........ Streel <br />Lot.............................................................. Block No.................................... <br />:ldilition ........ .............................................................................................. <br />Remarks....................................................................................... <br />No. <br />'� / Superintendent <br />LABOR AND MATERIAL C�SED <br />Lead Connection Complete <br />_.........� Saddle ComPlete 7 � /�. ' � / � <br />�)�:�1� �i.� /" <br />........... ......._..............._.............___:._................ �.....Pipe <br />.......... Servicc Cock <br />:.........I Scr�ice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />...................%........................ .� <br />........................ <br />....................X........................ ,� <br />........................ <br />.._....X ........................ �� <br />.......... . ........................ <br />Total ........................Sq. Ft. <br />----------------- <br />Re�na rks .......................................................................................................... . <br />Order N.eceiced. ........ <br />1� ark Completed..._.. <br />..................................................... <br />........_ ............. ................ <br />...__ . _ ..... ..............._ ........_. <br />Fore � n <br />