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(/��V fL ;�ctl !t,�, �l��c� <br /> w. o. ra�A a . <br /> - CITY OF EVEFcETT--Water Dept. <br /> /e/j�,�' � % o--1 .�j � �,7� <br /> Application No.................. .... Date............... ............................ ...1A...... <br /> . Tn�ta ......./.. '. inch water servi�e pipe <br /> fi.r . .�1t_{;.1.�..ti.....�...='S.,G..:x.r:�r.t�........::':.................... ..... <br /> � <br /> ... <br /> On ........_ �t�....5... :...;...-.' � � .................................. Street <br /> ✓-u........�f.....�. <br /> Lut.....2. .. ti2 ..................._�a......... Bloc� No........... . <br /> . . . <br /> ..... <br /> — � .�............... <br /> :lddition .....�:�.4:��...1J�:�:L?�...��.(.d�:t.4u............:................ <br /> Re ks ..... . ... . . . ... . .. ... <br /> • � �.......................�............. ;.......,, ... .................,........ <br /> ti.. .. . c-: �.�.�-..4.. � •}..�.���.<:R:.�i.a.L.....�?.J.. . <br /> � ......��....:��."...(�b.ti�...................................�........ <br /> .............. .. .......... <br /> � <br /> �.. �,......... ..................................................................................................... <br /> / ( �.,-.�_'. <br /> L...L.... ...-....!.........._................................./..I.-� c�.�t��-.. <br /> ............. ................. <br /> { .�l if��(i7 ��- <br /> LABOR AND MATERIAL U9ED <br /> No. Slze I <br /> -------- r_ __..--- ---- <br /> ..................................................._.I Lmd Cnnnealion Compyete <br /> .................................................._.' Soddle Completc <br /> ....__...............fl............................ ......................................................................Pipe <br /> ..................................................... Scrvice Cock <br /> _.................................................... Service 3ox <br /> No. Hours Labor..............................................Coel.................................................... <br /> Cutin.._.__.. ._....Pevemenl..._..............X......_......_........ .......... .............Sq.Ft. <br /> ....................X....................... �� <br /> ......._.............. <br /> ....................X....................... �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Totel ........................Sq.Ft. <br /> - � - ----- —' -'-- <br /> Remarks..._....._.. ....................... .._............................................................... <br /> _.............._.. ....:_............................_....._...._...:.........:.......................�......:.::.. <br /> _..........................�..,...:....:_:.......::......._.:............................................................. <br /> OrderReccived.. ..............._....._.................................................................... � <br /> lVrn�k Complcted....................... .__.. .__ _ .....__ .... . __....... ............... <br /> Foreman <br /> � • <br /> � � <br />