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. /7�9,y - , �:,.�� � <br />W.•D. IOMM ] ,. <br />" '� CITY OF EVEKETT'--Water Dept. <br />Application No.l�.-".�..'Z.: �.... Date ............:�:...L�..:�:..�..............19...... <br />Install ...............................inch wnter service pipe <br />ror.................................................................................................................... <br />, � . I1,. �. v.l< <i <br />On ...................�1.. �t.l...t.......-_.,..�.�.:....:.....lr....r..,:,�z...................... Street <br />Lot.............................................................. Bleck No..................................... <br />Addition.......................................................................................................... <br />Remarks.................................................................................. ..................... <br />_ .................. �� 1��!' ................................................................ .. ... .................. <br />..................�..;........................................................................__........� ...... -- <br />� ` � <br />_�.l�.,_/........�: '.t.`..'_ ....................................................I.�:c.:�. ....'.�.�.. :.. ti�i <br />��� <br />No. <br />AND MATERIAL U3ED <br />Lead Connectian Complete <br />Saddlc Completc <br />Service Cock <br />Service Box <br />No. Hours Labar ..............................................Cost................................................... <br />Cutin ................... Pavement....................X........................ ......... ..............Sq. Ft. <br />....................X........................ ,� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />o �� <br />Total ........................Sq. Ft. <br />-- --- <br />Re m a rks ............................................................................................................. <br />..................................................... -- - - - ____ <br />OrderRecei��ed ............................................................................................... I <br />\Vark Completed .......................................................................................... <br />Foreman <br />