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� C ✓ <br /> W�0 Form�9�, <br /> CITY OFJEVERETT--Water Dept. <br /> 6439 _ 7u1 . 0. .1947..........t�...... <br /> �nPPl:cation No........................ Date.............Y....�.. r <br /> install...........3f.lo-.„._---...�n=h water serv�ce pipe <br /> � <br /> Fcr ................................................................... . ........................................ <br /> 2R14 Vicbor Place............ ............... ..................... Street <br /> n ......................................... <br /> ' ....................................... Elock No...'1.............:............._.... <br /> Lot..........._6I7 <br /> .,ddition _.....--.. ..-- <br /> ...................... � <br /> . ........................ <br /> remarks ......_ReIle}Ya.l.................................... ........................................ <br /> _....................................__..............__......._.................. <br /> .................... .................................... .......................... <br /> ............................................................ <br /> ....._.................... <br /> G.�.Paine._.. . - ...._........ ............. <br /> . ............................... � HPZ SuPerinteudcnt <br /> .................................. <br /> _-__—__--_ — -- <br /> LABOR ANQ MATERIAL USED <br /> Na i Sizc ._ -�------ --- <br /> ..._............................... Luad Cunnect.ien ComPlete <br /> _ __ -. — <br /> .........._.... <br /> ....................._._._.._...., Sadulc Cumplete <br /> i <br /> ............... <br /> ...._......................__._................._.Pi Pc <br /> ........ ft............................� . <br /> ................ ......... <br /> ..........................i <br /> ;crvicc Cock <br /> ...................I Scn�icc 3ox <br /> .... ....................... <br /> .___.....-�--- <br /> __C�st..........._.._......._............._....... <br /> ,io. Iiours Labor.........._................_..._...... � <br /> . � .___.....X..._._...._..._..... ............._.........S9.Ft. <br /> Cut m.._.......__... 2^ven:ent_...... ., <br /> ....................l'.................._.... .........._............ <br /> _...__...Y..._................... ........................ <br /> �� <br /> ....... <br /> .X. ...... ...__..._.........._ �� <br /> -................. ................. <br /> Total ....__....._.:._....59.Ft. <br /> ------------ <br /> Remarks..._...__..__......................_..............................._. <br /> --..._...._..........._....... <br /> ._. .. ...____. .._. . ..._............................................ <br /> ._._..___..............._......._.........---....................... <br /> � .c}......._..............._......._......................._ <br /> Ordcr ltacci��ed................ ... D .L. . . _ / <br /> '�Sor}: Complcled_._........�.C._.t1.l.i.�.lc+.r.�.......__......��.`��Y...I......_. <br /> Poreman <br />