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e���� <br />W. O. �ONM ] <br />'CITY OF EVE}�ETT--Water <br />��} �/ O' <br />�/�' 2�JTrI/y�,,, <br />'//l,�r'„�[cC.�� `'�� <br />Dept. <br />Application No. �.:�.%�.-? .�. Date...........�..:: !. : �= '� <br />.. .. .....................19...... <br />Install .............................. .inch water service pipe <br />For.................................................................................................................... <br />,- 7 •� i �, , „ ,. , ' <br />On ....................1.l:-.�:.....L:<:.il�'.::�..�2.,..e.::.�,..../i�./ J�....... Street <br />Lct............................................................. Block No..................................... <br />Ad�lition ...... .................................................................................................. <br />Remarks ����v <br />......................................... ..............•--............................................... <br />........ ........................................ ............................................... <br />............. ............ <br />... �:.. �i- <br />.....::. ti�.-.........�..�.�....-/.--"------------ --_.. <br />LA80R AND MATERIAL USED <br />:.ead Connection Complete <br />Saddlc Complete <br />Servire Cock <br />Service Box <br />No. Aours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />; ....................X........................ ......._............... �� <br />�, <br />; � � I � .._ ................X...._.................. ......................_ �� <br />' ' ....................X........................ �� <br />, ........................ <br />' . Tatal ........................Sq. Ft. <br />— -- <br />Remarks........................................................................................... . - - - <br />........................................................................................................_...---- -....---�- <br />OrderiZeceived ...................................................................................... ....... <br />\Vork Completed ........................................................................................... <br />Forema <br />