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���� � .'�! J 5� — '� , 1. � <br /> W. 0. I011M ! <br /> � � CITY OF EVEF.ET�'--Water Dept. <br /> Application No..�.�y..:'�.��... Date..............................��..:.�.":.....19.�.y <br /> Install...............................inch water service pipe <br /> For .........................�. ........... ......_r............................................................... <br /> ' ��' .� l'a1 � x.( • <br /> � y. /�...:....._ ........................................ Street <br /> On ...................................... ...... .. <br /> Lot.................................... .��.................. .. Block No...................... . ... <br /> Addition .... ... ................................................................................................ <br /> Remarks .......�.........L..................... ............................................................... <br /> i • <br /> ��.�:...................................................................................... <br /> ............ ......... . <br /> ........................................................................................................................ <br /> ........................................................................................... .... <br /> ........ . <br /> ....... <br /> .......................................... ...............................................:. <br /> _�.:..._ia..... <br /> � Superin�dent <br /> .IJ <br /> LABOR AND MATERIAL U3ED <br /> No. Size <br /> -----�--- ----- -- <br /> . ......._.... I Lead Cnnnection Complete <br /> .................................. .. <br /> . ........................ Snddlc Completc <br /> .......................... . <br /> .......................il............................ ............................................._.......................Pipe <br /> ................_......._.......................... Service Cock <br /> ...................................................... Service Box <br /> No. Houi•e Labor..............................................Cosl.................................................... <br /> Cutin....................Pavement.........._........X._..................... .........._............S9.Fl. <br /> ....................X..........._............ .. �� <br /> ...................... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ._.........._..__...Sq.Fl. <br /> - - --'------- — <br /> Remarks...._...._. ......................................_.................................._............._ . <br /> . ....... ...... .................................................................................................. <br /> ....................................................................................................................... <br /> OrderRecei��ed .......................................................................................... ... <br /> \Vork. ComplMed.... ...... .......__. ..._...._ .. .._ . _ _..._ _.._...... _ l <br /> Foreman <br />