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: _�c <br /> '. � G � 28 . <br /> w. D. �o11M � <br /> C.[TY OF EV�:RETT--Water Dept. <br /> Applicntion No..lc`..C'_-.'.✓.'.. Date................. ..:.:. ..�..................19.s:.. , <br /> Instnll...............................inch wcter service pipe <br /> For .. .........:....�:��,�(.�.a...d�..._Lcc.`u.�c.. ......................................... <br /> i � <br /> On ......................r.�./:...:a-.:.:........✓..?.3�.t.'..l.... ..���.y...�.'�;.1^.�J'��Stieet <br /> Lot.......... ................................................ Block No.............----.................... <br /> :,d�lition .................._......................... <br /> ..._............ .................................... <br /> I?emarks -`j- �i ; v <br /> .........12�t< .......[L:�c.`_7.:_�.::.......c........................................... <br /> ............................................................................................................................. <br /> ..................................................................... ....................................................... <br /> ............................................................................................................................ <br /> ............................................................................................................................. <br /> SuG�erinlendent <br /> � � � <br /> LABOR AND MATERiAL U36D <br /> Na. Slze <br /> -------- --I—�--- ---- — <br /> ................................................. . [,end Cnnnection Complele <br /> ..__..........................__......_......... Saddle Coraplete <br /> .... .................it............................ ....._.................................................................Pipe <br /> ........_......................... ............... .iervi �. Cock <br /> ..........................._._...................... Servicu Box <br /> No. Hourn Labor..............................................Coet............................ ...................... <br /> Ntin................_..Pavomenl...... .............X........................ ........... _.........Sq.Fl. <br /> ....................X........................ �� <br /> ......._.............. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Totel ........................Sq.Ft. <br /> Remarks............................................. — <br /> ...................................... ...................... <br /> .. ............. ........................................................................._....................... <br /> ................................................................................................. ....................... <br /> OrderReceiced........................................... ............................ ..................... <br /> \Vark Completed...............................................__...... .... ..... .. _._.._..... .. <br /> Fareman / <br />