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. . ..,.� .�r,�g � � <br /> ....�.s��...� � ��� � <br /> CITY OF EV�F�ETT--Water Dept. <br /> APPlication No.......��_/.�.�D�� _�V',/E'-cJ.�/ .,S 3 <br /> -•--�--...-- •.............................19.._...— <br /> �Y�,� � AInstall----------. .y........inch/p��(�ter'serviceptpe <br /> F'O[ ...'__"'l...../ �'�'1�:4../1:�� �..:... . .� /_�-tr_�.:-eL�P t� <br /> . <br /> L ""'...:.....'"""'"'"""'"""" . . . <br /> ...... <br /> DA _...""""""�'�..�..___........�:�:... ...........'""""'"'_""_"""'"... .Stl'EEt <br /> Loi........_........--�---...................-----��----.. Block No..--•------------------------ <br /> Additicn .......--..............................--------...........----........---- --... <br /> a ,/- ' ............. • <br /> " <br /> Rema�ks-.,... ..---�-`=--...-�-------��k,.l..._-�7't.t+,c�l.3......' <br /> - ! Y _....t��..:e�f-v-.�e._ <br /> -.,.. <br /> � _d"--"-'-.:x'�'� -........__...-_"----^ . <br /> Y�n _ .. .................."-----.........................._---••--`---.... <br /> �...........2_....:"'.. ._..._.'_"'� """"'""_""' <br /> , -. .y�- /lX�. ._ . . <br /> -y - - <br /> : , -" s r�-_� .................._..�._.......... .,..._.__....----- <br /> .. --� ----����-�-..._ .......,.�>..�._��-�, <br /> �--...-�-�----�-� . <br /> Super3ntendent n <br /> LABUR AIVI► MATERIAL IIBED � <br /> No. Size � <br /> ............._............_......................... L.ead Connectioa Complete <br /> ..........._.............._.. . vaddle Complete <br /> ...................... <br /> � , <br /> ................t_..St_..�r�.:......_.'.._. .:.'..�.:,r'.F'•..t.........._......................................Pipe <br /> ......_...........y...........%s�....._---..... Servue Cock <br /> -""---......'--�_...�..,.3.sa,r:.f�....... Service Boa <br /> ......._.................... <br /> No. H�urs Labor..............................................Cost.........'.'...........'.._". <br /> .................... <br /> Cut in....................Pavement............_.......X......._......... ........................Sf.Ft. <br /> .... <br /> ...................R................._...... �. <br /> ......._............... <br /> ._...............X...............__...._ �. <br /> '----`............... <br /> .........._........X.._..._............-- .� <br /> ........................ <br /> --- <br /> Total ........................Sq.Ft. <br /> Pemarks.----�--...............------........-------.._...--- <br /> ._...........-'--�.................. <br /> ._.---.....-'---.....--.......---�----......................'-'-......._........_...----.........._..............--'-- <br /> .'-.-_....................'----.....--'---.........._............................_...._.................--�--........---'- <br /> Order Peceived.----.....---�----.....-----�------................-_..-- <br /> ...._..---...---'-- <br /> � . <br /> �Vork Completed...1_�..:-.?.?a.'.5....:i.......------ <br /> - ...:--.1....s.�:ti.:.�..- .. <br /> Foreman ' <br /> I, <br />