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5 ].Pnebe1M7A6399)SZ I 7 • � (' �• , <br /> W.D.Fam) <br /> CITY OF EVEkETT--Water` Dept. <br /> / <br /> Application No....................... Date...........- ............._..._.........--19---- <br /> Install..........................._...inch water service pipe <br /> ro� .........._._.::.._..........-.-..............._......::..:......._�........__...:----..................... <br /> On ..................::..............::............_.......:....:...:..............._.................... Street <br /> Lot..............................._._........................_ Block No..---............-�---............... <br /> Addition ................::......................- -................-- .........-� ...........- <br /> Remarks ..---....._'................:....---..:......_......_...-_-- ' <br /> ..;.._. ......................................_............--- ....._......._...._....-----................._..... <br /> / ._........�_.....--�-- -.__:......-'- ........ . ............................_........--......_....._... <br /> ; .._.. <br /> ` y'.�-:: ,�...... ........ ........._.._.........................._...........:........_:._....:............... <br /> r�, <br /> ��•`��i� % <br /> � . ;•........ . �.. _._._..._.._........................_.........""'.:_..._............""p..'.................... <br /> r`' ^4 Sn erinlendent <br /> . i2' '�. � � � . . . . � <br /> � R `•c�`l,�^I� - ' LABOR AND MATERIAL USED <br /> `, �tP� Size — <br /> —Yr--�— ,i -� <br /> "- Lcad Cnnnection Complete <br /> ...........�_..::...................�......__.... <br /> � i <br /> ........�..................../.......k..�.�...... Saddle Complete <br /> .........�..1......St...._......L............. ...._.._�...".:,/f.u��3:P:.^..�........................Pi e <br /> ..............C........_.........._!.._�....... Servicc CoL'k P <br /> __.................................................. S �vice Box r J / � <br /> .� , - _ <br /> ......J.........................! ........._.... :.. �-�_�..-..�?-��.-�/.=:,�s�-�..._(_�r:�.:;..�_�._r....zf....::..::... <br /> � �...... . <br /> ._.........2..............._......�.;i"""........ ..�:"�". °...��}-�.r.....:.L..f.r�........._G._�'l11....��..^�...:J...:._.."""......_. <br /> __. .....1:...................(................. ._s:�ti�=:�r..._(�'_.+�•::z_ C�<- r..t�e.............._........... <br /> ................. .. .................. ............................................................._......... .................................... <br /> Na. Hours LaUoc..... .�:....Co� � <br /> . ..._..................._.... ..._�.:3.�...._...._....................... <br /> Cut in....:......._..._Pavement_..................X........................ <br /> ........................Sq.Fl. <br /> ...................X........................ ......._............... „ <br /> •���,� � ;j i 7� l ....................x.......___........... ........................ ;; <br /> ...X........................ ...................... <br /> Tolal ._......_......__...Sq.Ft. <br /> --'-------- <br /> Remarks........................................................................................................... <br /> �...�.�.�..��.�.�............................................................................... <br /> .�..�..�...-. ...�.................................................................................. <br /> OrderRecei�•ed............................................................................................... <br /> 1JorkCompleted:....._ - --........................._.........._..............._................ <br /> Foreman <br />