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- � �08 - `�' <br />w. o. ronH a �� .J' nC. .. ,.� \ <br />0 <br />CITY OF �VERETT--Water Dept. <br />Application No...�.:�F..r��. L'.... Date......_ .......................................1�J...... <br />7�sta11_..........._ ......_... .. .inch water service pipe <br />F, r .. <br />............ ................. ............ ........................... . <br />.......... ._. .. <br />_ I . <br />On .........'5..�.'..::.�......./�:543:.5:::....._�..:.4:`� ..............._......... _.. Street <br />Lot......................................... --................ Bluck No..............__............------ <br />:ldditioa .......................................................................................... � ....... <br />Remarks............................._............ ...- - ..................._.............._.--------- <br />.................... . ................................................................................................... <br />............ -.........._.........._ ...................................................�- ........---.....------ <br />......................................................»..'.... .. 1.....................-�----....-- <br />........ <br />/'S �) , /-�e.t t, . <br />........................................ ............ .................... . . . <br />.... ........ . . . .... ..................... <br />Superintendent <br />-- — _ '��.i� tC y <br />LABOR t1ND MATERIAL <br />No. I Size <br />..............._.......I Lead Conncetion Jomplete <br />.___ .............._.i Saddlc ComPlele <br />........................ ....... ............................................ <br />........................ Scrvicc Cock <br />...................... Scrvicc Box <br />__......-._............I - .............. <br />No. Hours Labor ..............................................C'ost................................................-�-- <br />Cu: in........._.........Pavement ....................X.._.................... ........................Sq. Ft. <br />....................7i........................ �� <br />....... _ ............... <br />a.. �� <br />......_ ........... ...................... ........................ <br />....................X..................._-- '-..................._ �. <br />'Potal ................_ _....Sq. Ft. <br />'-_---- ----------------�— — <br />Remarks........._. _..._ .................... ............................................................ ....... <br />.................................................................................................. .. <br />_ ... <br />Order Recei�•ed .........................................................................._� <br />.. ......... <br />�Vork Complcied .............__..................................._...... _..............�)......_. <br />Foreman <br />