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a. a. rn¢ao I � V 1 F� • • ' � ( <br /> w. o. roaw a <br /> CITY OF E`✓ERETT--Water Dept. <br /> P.pplication No....:....i..:_�...%�.�i Dale........:...:.....:...��_................._19...... <br /> � � Install.................... inch water service pipe <br /> ,�, �� —� , <br /> �. ._ -� . , � < <br /> F�r ........:.....:.`:.._...:...:../...?.�:.:_�._1_>.:................................. <br /> .......................... <br /> , . - -, <br /> On �1...�:�...L•_....1.�..G:..l.��...s......::.. � <br /> .........'. _ _`_.::`__�._. � .'....... ...... Street <br /> Lot.............................................................. Block No..................................... <br /> ::dilition .......................................................................................................... <br /> Pemarks ............................ ........................................................................... <br /> ..._......................................................._.--.........................................._....... <br /> ...................................................................................................................... <br /> ................... ... .............................................................................................. <br /> _._.................. .................._......_........._..S_..... ..................... <br /> � � 3uperintendent � <br /> LABOR AS�D 11t:1TF.RIAI� USED <br /> ---Ne.__� Sizc- I - — <br /> —r_— _ <br /> ...._...............................__.............I Lcad Cnnneclion Complete . t,' . <br /> Saddlc Completc - � �� ��, %" <br /> .._.........._........._...................._.....I , <br /> ................... <br /> ....f t......._............... . ......................._..._.........:................_..._.....P i p e <br /> ................_...................... ..._.......' Scrvicc Cock <br /> ...................................._.._.........._ Scr�ice Box <br /> No. Hours Labor.........._....................._...........Cost...._........................................._... <br /> Culin...........___._FavemcM_..................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ...............X........................ .� <br /> ._. ..........._.._._.... <br /> ....................X........................ .� <br /> ........................ . <br /> Total ........................Sq.Ft. <br /> __._—_—_'_________—_____ <br /> Remarks._........_._._...................................._....................... ........................... <br /> ,�, � _ <br /> , . �_ �� , r� . <br /> , -, <br /> _._......_,...._ ......_.._.:...._�:.._........ .:.................._................_...................... <br /> / <br /> ..................................................................................................................... <br /> OrderUecciced.. ........._.............._...._....................................., .. ........... <br /> \bbrk Comple[ed... .. _ . .__.........._____ ________...... __. �T <br /> '�""�.. <br />