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v <br />� /��� �� - _ ii� - ,� 3 �� <br />W.�D. �ONM .] � /�C(. �'f,C_C�� 1.�� <br />`, . <br />�i�,,� ' CIT'Y OF EVE�ETT--V�'�ater De�t. <br />IAPPlicatior.i No. �.�i.�_1 /.:1... Date ...............: �...c.�..:. �:. `:�......19...... <br />Install .............................. .incti water service pipe <br />ro= .................................................................................................................... <br />�, <br />On ..._..._ ..............L:......3u.........„z4,c:s?,-; >c�' �=`2�Street <br />_ ............................................... <br />Lot....................................................._....... Blocic No........_........,.�.�....---.......... <br />Addition .................................... <br />................................. <br />Re m a rks�........,v ................. ................................... <br />/ j�� �, <br />............. .............. ............................................................ <br />............ ............................................. <br />...... ................ <br />.... <br />, <br />... 'r + ' <br />.... :�� : /�-�..........%..:.7!:: ?_�. <br />....................................... <br />............................... ..................................... ................�-- <br />LABOR AND MATEBIAL USED <br />No. Size � <br />.........................................._ Lead Connection Complete <br />........................................... Snddle Complete <br />............St ............................. ......................................................... <br />............................................ Servi�e Cock <br />........................................... Sert:ce Box . <br />Pipe <br />No. Aours Labor ...... ......................................Cost..........................._....................... <br />Cutin ....................�avement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />............... ........ <br />Total .................... ...So. Ft. <br />--- ---- <br />Remarks....................................................................................................... — <br />OrderReceived .......................................................................... ............... �- <br />\Vork Completed ........................ .............................................. .. . / <br />Foremir. <br />