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� ► �•2 32. ;. , v <br />w. o. rony p " ' <br />CITY OF E�jERETT-��7�Iater Dept. <br />Applicalion :Qo%'�.-':. `".: Date....... � �..' ............: � _.�.........1�� . <br />� J <br />7nstall__ uf-;_�;._.. 9nch water service pipe <br />For � �" ; "�� � � <br />..................... y.z �,�� f� • �. <br />- -......... �...�.... ! <br />....... ... .......... ............:................. <br />On .......... ........... . <br />�. I' _o c � � ._....... <br />�i <br />. ...... ... . .......... �..... ./............._:�.. .'. � 1 � Street <br />. .. .................... <br />Lot ...........................................:.:1........... Block No.......................... --....... <br />Addition..................._, � ......................._....... <br />. . / ......................... <br />Iicmar}-s .................._.:. ' �-.................. <br />.i.:c'Z..<...5. �....—[�..._�._..._..... <br />_ ........................... <br />.................... ........w............ <br />.. » <br />:................................... <br />� - , '., ...... - ................. <br />_ . ........................ �L, s�(.cL.f,.. ...c..� <br />...............::: '�ir �• f . <br />. ........._ ......� ..................... <br />_......_ ................_._...........................:.__.........._. , <br />�, <br />_ ................ , �.:..,_l_�................ <br />....._. <br />..........._........ ; �..` f <br />_.. : <br />........................... . <br />f� , ................... ............... <br />N'+ � . Superi tendent <br />--_ -_.__ ___— � J`r � "` ) • � <br />—�i <br />LABpg AhD MATF,RIAL USED --��— <br />.<.i .......... <br />Lcod Connection Cmnplete <br />Snddlc Complete <br />. _ (' , <br />,;[.,�._.�i_c .. :..........._ _............_.... _... _....Pipe <br />Seryi�c�Cock <br />Scrvicc Ro.- <br />No. 7?ours Lebor_ ................ —�� <br />. ........................ _.CosL....................................... ..... <br />Cul in......._..__.....Pavemcnt ...................X........................ . ...... <br />I ' <br />........................Sq. Pt. <br />, <br />� X ........................ �� <br />.. , ......_....... <br />, ... ... <br />.................... X........................ <br />. ' . .1 , . .................. ..... n <br />� ....................X........................ �. <br />.—__ - Total --- <br />----- ---- _—_�-- ........................Sq. Ft. <br />�--- — <br />Remarks ......................�� (• ' ' — <br />�......,(.c..s .::..�:..�. <br />� ................. <br />......................... . <br />.. ,. , <br />. <br />_ . ......... .... _ . . . . <br />...... ..... .. _............ �......3.:.:....:_......,. <br />....... ................................. <br />...........................................r- <br />...C.l:)_:..�..�..a .............��...._........,...._...................� / <br />Order Receiced .... . <br />....�. <br />, ......... <br />1Vork Campletr.d. ..... '. <br />Foreman <br />