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i�o� 7 ,, <br />w. ortnov .r _ • ' /4f � �" / <br />r'ITY O� E�,�ERETT--Water Dept. <br />__ - <br />: _ i .::, <br />r]}z,iiFakon'Io..��.�..��..� Date.......��::....:._ ...........................19...... <br />--� Install ..............• ./__......inc�ater service pipe <br />ti . <br />For ._:..,�._4......��:L...j-..�:.:...._�....::.`.:�_:C ............................... <br />.......... <br />on ._........_�f..7../.. �..._ :...._..`,� �? ............................................... scr��r <br />Lot_ ......................................_..._........_..... Block Na.............----................_.. <br />Addition......... ..._ ......................................................................................... <br />Remarks....................................................................................................... <br />N� . � Sixe <br />LABOR A2�D TfATF,RiAL USF.D <br />Lcad Conncetion Completc <br />S�ddlc Complcic <br />Sen�icc Cock <br />Servicc Box <br />... _...... _............ <br />Superintendent <br />_..._._.Pipc <br />i <br />No. Hours LaUor ........................._........._.......Cost............---..................................... <br />Culin ...................Pavemenl......_............X................_.._ . .......................Sq. P't. <br />....................X................__... ,� <br />- -......_ .............. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />..................... _. <br />Total ._ .....................Sq. Ft. <br />.—__ ,: __--...___—______—. ___ ____ <br />Rem,�rks.._._ ..............................................._..... _._........................_............... <br />.....................__................................................................_ .... ... . <br />Order!?ecciced ...................................................................................::_......... <br />\Vork ComplMed .....................___.............. _ ..__....... ..._... .__.._..._ <br />Foren�. m <br />