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i <br />� <br /> r <br /> I <br /> I <br /> 8. i PR�CD 11• ��`•� O <br /> W. Oi :C%M . ' � � , <br /> ITY OF �VERETT--Water Dept. <br /> I Application iTo.....L::`:�.:`. ... Date. �i " <br /> �.........................../:�--:...19:=�.�� <br />'� , J Install............::'��.......inch water service pipe <br /> For ................./r:!".:rL..;:.-�...._..L.,:�:.:..:.`.�:::�1...�..................._........ <br /> On ....:..........: J `//(; -- �, . C�, .. Street <br />� �..................../........�--�----................................................ <br />' Lot. .. �� ,��7 �lock No <br /> ... , / ,�/ ....................... <br />� Additior, . �.r�.CF ,..c � .� ..� r� _ ; <br /> i � —� . <br />� Remaiks , r. %( � ;. ' r , , �. <br /> :.... �.i:... �._ <br /> ..... ......_. <br /> .; � ................. <br /> ..........................x....� . <br /> ... ......'...._::._ . ......................... <br /> ,.._. ._ <br /> _�:�A �f, _. _:........... .......................... <br /> . . <br /> , � , ......_........ <br /> ., <br /> � ` ,,- <br />� . ....; , <br /> � ` �� . �f..,..r�:..:.................._.... �./. <br /> � <br /> , � <br /> ...._. ,, :s� .::, <br /> r ...................................... <br /> ,,,, � .. .....--�-............ .. <br /> � ._„ •'`� Superintendent�,� <br /> —__ __ /' <br /> ►— <br /> LAIIOR ANII lYlATERIAL IISED <br />� No. Size � .— <br /> --- <br />� ...................................................... Lcad Connec[ion ComPlele <br /> j ...._........................................_...... �aiddle Complete <br /> ..................:.' ft._....:.:.................. ...............:.......__.............................................Yipe <br /> ................._....:............................_ Scrvice Cock <br /> j ..................................._.......:......... Service Box <br /> .... ........................... ................................................................................................................ <br /> ......................_...I.......................... ................................................................................................................ <br /> ................... <br /> No. Hours LaUor..............................................i:ost.......................... . <br /> . ....................... <br /> Cu� in....................Pav2ment....................Y........................ ..Sq.Ft. <br /> . . ...................... <br /> ' � . ,,��• ....................X. <br /> . . ....................... ........................ .� <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Tolal ................ .....Sq.Ft. <br /> ------------_- <br /> � � - <br /> emarlts....._...................._.......:.:1......::.::.:. <br /> ....__........................... <br /> ................. <br />''� _:........ ..... ..............................:3__..�.:;._.:.. <br /> :............................................. <br />,� ....:...:.:......................._.................. <br /> ................................................................... <br />� Order Peceieed......................................................... . .. <br /> . .. �....._...................... <br /> �l%or�_ Completed..��.:.;,..-....�..:.::............... . . . <br /> .........,_...:......_.._...._...__....' <br /> Foreman <br /> I <br />�I <br />