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$ ).Qieb<4M�5� / <br /> a.�.F���� GITY OF �VERETT--Water Dept. <br /> Ap�licalion No...6.�21... ..... Date........�u.�.9....��a.�.Q.4.�......19...... <br /> Install.....1�.2.........._ .....inch water service p�pe <br /> For ._.._.._......................................................._................................................ <br /> On .......220.7�..v.i.c.Go.T...Place........................................... <br /> . Street <br /> Lot........_.2. _........._............................... . Block No.......1........................... <br /> AddiLia� .............. ....................................... .................................................. <br /> Remarks .................Renewal...... .............................. ���-�---.................. <br /> ...................................................................................... . .......... <br /> ............................................................................................... <br /> ..................................................................... ...................... . <br /> G..G..Pa.ine.................................... <br /> ........................................................_...._.. �VZ S¢Perinfendent <br /> LABOR AND MATERIAL USED <br /> No. Sixe � ____ -- <br /> ----�� <br /> _...................._.)................_._.....� Lead Conneclion Complete <br /> ,_..__.�. SoJdle Complele <br /> ........._y............................. ,i ' � ..................... Pipc <br /> ._...:::�............ft.. . ,- ..t:.�......___........._.................... <br /> , .� ..............:........... . <br /> ......................... ....... <br /> ._.................. Scivicc Cock <br /> ...._._.............._.. Servicc IIox <br /> ._._�._�.._..........._.I.._......_...�......._.�.. �.._......._.�..._......._....�....._..�._...._�._.�................_......_......_.._......_....... <br /> No. ]Iours Labor...............................__..._Cost............_..................................... <br /> C1ul in___.y........_Pavem_nl___..........:C.._..........._....... ........................ „ <br /> Sq.Ft <br /> �J o 7 C _ /t�r" s 4 i'pi�! . 'fn._X................._..... .�.._.....�............ ,� <br /> ",c't :. " I �o.`...,,'.._X........................ <br /> 7 7 U� �� <br /> /.o,. t 5/sl.C._........X......_............... .._................... <br /> . � <br /> ��n�, p,< t {�o �P.t}rTotal .._..............._._89.F1. <br /> --- .�-----— <br /> Rc,narks._.........._........................._ ..._..._.............. ...................._......._..... ... <br /> f•� �e.sf D�. Srr��c o <br /> --x................. ........._......._............................................................. <br /> L �-7C,i <br /> _... ._ ._...... ._....- ....._................................................. <br /> OrderReceived...._........_......_.._......................._...................�_................. <br /> . . � � � ........:_..;.I.�.:�d�"`/ <br /> ':ierk Completed._...._.`].�'.s:....y--':..L__._..._... Foreman <br />