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/73yt/ � ,,,.;, <br />w. o. ronr. a <br />CITY OF EVE�' ETT--Water Dept. <br />Application No...�1'..'� �f/.... Date .........................._...�:3..:..L.-..19.(:..� <br />Install ...............................inch water service pipe <br />For............ ........... <br />. ..... ......... � ... ....................................... <br />3� 5 r. ��� l��- ,(,�� z. <br />On __..._ ..... .............................................._...................................... Street <br />Lol............................................................. Block No..................................... <br />Addition ..t, �......... <br />............... <br />.__..._..._ _ ................................. ...... <br />Remarks .. ... �{... ..::_ <br />................ <br />.................. <br />t, <br />�nnOR AND M.4TERIAL USED <br />r--- --- --- <br />...................................__ ......... .� Lead Connection Complete <br />. � SaJdle Complete <br />. ......................... ................. _..._ .. <br />.......................(1......................... _. <br />............... _..... _................. _. _....... <br />._ .................................................. Scrvicc Cock <br />...._ .............................................. Ser�ice Dox <br />......Pipc <br />.................................. _......... _..... <br />_...._ ................................_ _....... <br />..... _............ _. <br />No. Hours L�bor._....._......._ ..........................Cost............... <br />......................... ..... .... <br />Cutin_...........__Pavemcnl.,........_........7C ......................_ ......................_Sq.Ft. <br />.......... .........X........................ �� <br />........................ <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />...................... . <br />A _�-. <br />Total ................._.....Sq. Ft. <br />-- — -- <br />R e m a rks ........ .................................................... ......... <br />............................. .. <br />......................................... <br />Order Received ............... <br />�Vork Campletcd ....__... <br />_. _........ _....... _. <br />_ ..... _. <br />_ _ _ . .... . _.� <br />Fureman <br />