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0 <br />( <br />(� / ff <br />Ye. o. roN+ a /��� T� �� �7 7 <br />CITY OF EVEI�ETT--Water Dept. <br />Application No....�.1 �.�. U... Date...... �.....�..:...�'.� ................19...... <br />Tnstull ..............................inch water setvice pipe <br />Far.........................._......:;................ . ............ <br />On ........%'.��...��.� ��<,,1. �!'.✓..Y�.�__ .... .................... <br />................................................ ...................... Street <br />Lot.............................................................. Block No..................................... <br />Adilition........................................................................................................ <br />Remarks.......................................................................................................... <br />No. I Sixe <br />LABOft AND MATER[AY. <br />Lead Connei lion Complele <br />Saddle Complete <br />.................................................... <br />Service Cock <br />Service Hox <br />L <br />No. Aours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavemenl....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />----- ---- <br />Remarlcs ............................................................................................................. <br />OrderReceived .............................................................................................. <br />\Vork Completed ..............................................._..._......._......... .. ._....... I <br />Foreman l <br />