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/�3� Z. � <br />w. o. ro�r a , j "_ �'�_. ��,-. <br />� CITY OF EVEF�ETi --Water Dept. <br />Application No.._%.:'�r.�-L Date.......�.:J..- (�� <br />� ...........................19... <br />Install ...............................inch water service pipe <br />For...............................:,.......................................................................... .. . . . <br />� ... <br />On .....!:'.:'�:�'..`:.....':���1 = ...................................... Street <br />..............�.............. . <br />Lot.............................................................. Block No..................................... <br />Addition..............................................__ <br />............................................ <br />Remarks......................................... <br />................................ ................................ <br />....................................................................................................... <br />.......................................... ........................................................................... <br />............................................. ........................................................................... <br />... ....................... .... ........................... .. ............................................ <br />Superintet�dent <br />LAROR /�ND MATERIAL U9F.D <br />No. Size <br />-- -------�— <br />--- <br />...................................................... I.ead ConnecHon Complete <br />..................................................__� : nddle Complete <br />.......................ft............................1 .. .........._ _............................ _...... .......__......Pipe <br />................................._.................. 5crvicc Cock <br />...................................................... Service Box <br />No. Houra Labor ..............................................Cest......... ....................................... <br />CutIn..._.....___....Pavemenl_ ... .............X........................ ........................Sq.Ft. <br />....................X.......__............. ,. <br />........................ <br />_ __ .... .........X....._.. .............. ........................ .� <br />............... ....X......... .............. ...... ................. •� <br />Total. . ..................Sq. Fl. <br />'-- �_ <br />---- <br />_ .__-- - <br />Remarks ..............................................._...................................................... _ <br />__.. ._ .................... ........................ ........................................... __... <br />............................................................................................... ................... ... . <br />OrderReceierd ............................................._..................._........ <br />Nork Completed . __...___..__ __ _ ` <br />__ . _ _ _ _ ._ I <br />Foreman <br />