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_ .c <br />��28 9- / .s'�:"�. <br />W. O. IORM'] <br />- CiTY O� F,VERETT--Water '�ept. <br />� �- <br />Application Na%..:5.. �.,��`� Date........_�...:..� ..........................19...�: �� <br />/'' y " � .. T inch water service pipe <br />For ......�.1 �<<.. !......�..-�:�.....-�.}: j`.. � .............................................. <br />Insta ......................... <br />� <br />C_ <br />On ..........%r.s... �. . /l..F?:c'.( �/ .:...................................... Street <br />Lot.................................................. ..-r/... Black No...-�---...............---........... <br />:ldciit?on .......................................................................................................... <br />Remarks .....................................�.....�.........._................._... <br />..................... <br />......._........._....._ ...................................... . -- -- _ __ <br />Superintendent <br />LAROR AND MATERIAL IISED <br />No. <br />---- - - <br />...................................................... Lead Conneclion Co�nplete <br />...................................................... S�ddle ComPlele <br />.......................ft............................ ................................................... <br />...................................................... Sen•ice Cuck <br />...........................�.................,........I Service Hox <br />No. Hours Labor ..............................................Cost.................................................... <br />Culin ...................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ .� <br />.. ., <br />....... . ............ X........................ ................... _.... <br />....................X........................ �� <br />Total ........................5-�. Ft. <br />— ----- — <br />Remarks ............................................................................................................. <br />_ ........ ................................... _.... _ ....... ....................._..... _........ <br />OrderReceived ..................................................................... <br />\Vork Completed ...........................................................__... <br />