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i <br /> � 83 _ _ _ � <br /> Sl.Pnebe�M'!�� t) � • • j <br /> W,U.Form) <br /> CITY OF EV'EKETT--Water Dept. <br /> , � <br /> Application No.,....._...._..--.... Date... -`.._1:.....:.:........................19�:.---' <br /> �� lnstall.......:.......:.....-� :--�-�ch water service pipe <br /> � •�� i-; ,, <br /> 'n • �-- <br /> ; . . , . ............._............ <br /> For .......fs_r.:...:..--'`-.,...f.�..:..r_......_......_R:.....:......../ <br /> ., _...1...:'..........=:1......: .....:.:................_.....---... Street <br /> On ............:...:._ <br /> ...-._........ <br /> �:' ---� ..:..................... Block No..,.........:_..-------------- <br /> Lut.._............. ......... <br /> Addition ....:_....--`-..........-- • - -........._..........................._-��---- <br /> ..................... <br /> Remarks .................................._................................. <br /> .............................. <br /> .,-.._.....J..............------...............................................-.. i..._..._..:._......----- <br /> � �' ....................:...................... . <br /> ... <br /> ..p�......... �..___..:......--�--- <br /> , Y � ' ' <br /> ....__.............._:...........�...................--�------ <br /> ' .....__,.. �. . ..................'........_" SuPerintendent ' <br /> . . . . i 41 � � __—._ <br /> i _ <br /> „f �� / .. =_r' ..-___— _ —__ <br /> i'� LABOft A`7D DiATLR1AL LI9ED <br /> / <br /> Nu. i Sizc ---. --- <br /> ___ -- <br /> I __.,... .�� Lcr�d Connection CcrPlete <br /> .................................. . <br /> . ft........�...............', �AddleComPlete ,, <br /> _.......... ,........ ......._. y , . <br /> � .............� t:�'...:.............................................r;n� <br /> I ...._.:.._..... <br /> _......�....... . <br /> .................... <br /> .. <br /> .......... ............... <br /> ;erv�ce C�ock <br /> ........................... <br /> ...._.__......_........; �c:vicc Bos: <br /> ............. <br /> .....__..........................................................................._............_........... <br /> ...�...._......_...... .....�--............._.........._..._...�..._._......_......._......_."'...._...._..................... <br /> .. ...................... ......... <br /> ........................ <br /> ... ............. <br /> .......0 oSl.................................................... <br /> Yo. Liours LaUor....................................._ ........................59.Ft. <br /> ......_....._.._Pavemrnt.................._X........................ <br /> Cv'. i�. �� <br /> ....................X........................ ........................ <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ..._.................... <br /> ,� <br /> Total ........................Sq.Ft. <br /> _— __---- <br /> Rnmarics...............................................................................................�--......... <br /> , <br /> .�.J`'..:..`j..��. .-.... ................._.....--• -..... <br /> .... ...-: <br /> ................................. <br /> ; � <br /> --......... <br /> _:r....�..!t,.>.. <br /> _........................................:..- ... <br /> .............._......-._...�. , ; <br /> OrderReceived ._.........................._ ................................................._....... <br /> �'�1 or'.: Cmnj:leled_.....__..............._........................_.................._Foreman <br />