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Y <br />� � � / I�r <br />• � � �- � �` � /r � � � <br />w.�u. �oeu a <br />" � CITY OF EVEF:ETT--Water Dept. <br />� ; i .:.:...........ts...... <br />ppplication No...: :L:z...'.1...-4�.. Date ..............:....:.......... <br />Install .............................. .inch water service pipe <br />For........................................................................ - <br />%'1..�.:h._........�.��.�tr:....L�:.....1_.� :............. Street <br />On............................ . . <br />. .... Block No ..................................... <br />Lot..................................................... . .. <br />2dclition .................................................................................... <br />..................... <br />Remarks ....................................................................................... <br />............ <br />G' i i ,� ............................................... <br />— % �� <br />............. _ f`�L%l�;t..s::�.�:.. <br />.................................. guPerintendent <br />2 <br />LABOR AND MATERIAL IISED <br />n o.� _— <br />--- <br />.............. I.ead Connection Complete <br />.......... . Saddle ComPlete <br />........................... ....... <br />........... <br />. . . ............................................. <br />............. . Service Cocic <br />........................... . <br />......... . _ ............. <br />...........................I................,. <br />....,... Scrvice Bos <br />............... .......:.............................. <br />.................................... <br />� <br />.... ........................ -' - - - <br />No. Hours La or .................. ........................59. Ft. <br />Cut in ...................Pavement....................X........................ „ <br />....................... <br />.................... ........................ . ,� <br />. <br />.................... ........................ .................... .. <br />................. X........................ ...........___....... <br />Total ........................Sq. Ft. <br />--- . .......... <br />. ................................ <br />..... . <br />Remarks ......................................................... .. <br />........................................................... <br />................................._ - I <br />OrderReceived ............................................................................................. <br />Fareman <br />\Vork Campleted ...................................................................... <br />