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ti J.Prie6e1M7A639i55//D�� /� ���� <br />w. 0. Form J � ,� <br />CITY OF E ERETT--Water Dept. <br />, , <br />Application Nu./.�D..�.%�..... Dz ..... .....%.�/��./........19�.� <br />. <br />.. ......... . . <br />Install...... . � ...��...... ... inch water ;ervice pipe <br />�p . <br />J <br />For.................. ........6........ ..... ...... . ...ti:*dt.._.._ <br />............... . . . . <br />"� ...... <br />On.....................t.�.%.�_�:._�:: . a��:............................ Street <br />Lot......................f..Q............................... Block No............... - - � - - <br />Addition ..........7'%:�•"4.�+��...... �.......----...._...._...... <br />Remarks ..........��:1.:v......�.,C..,u-... <br />..- �-��--,_ ................ <br />No. <br />...... ............... .... . . . . . . <br />� ... ,.... .1.. . .. <br />......................�t....-- w•�------ <br />Superintendent <br />AND MATF,RIAL II9ED <br />�� Lrad Conneclion Complete <br />� Snddle Complete <br />Servicc Cock <br />Service Hox <br />..................................... <br />............................. <br />..._ ............ ........... <br />No. Hours Labor_........_ ............................ <br />Cut in.._.....___.__Favemmt.......__.......: <br />..... ...............7ti... <br />........................Sq. Ft. <br />� <br />Tolal ........................Sq. Ft. <br />-- .-" __�-----� -------- <br />--- — <br />Reinarks........................................................................ _ <br />Order Pecciv�d ................._.... <br />\i'ork Cump'�ted ..................- <br />