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O. J. I�RICBC ] � O G � • + ' <br /> W O. lORM J <br /> - � - CITY OF EVEi�ETT..Water Dept. <br /> . � � � _ � <br /> Applicztiun No./..,.:'4'..c-.',7 Date...�,_'_t.:.l..:.:, <br /> ,; .s_, <br /> ......:....................19::::.�:.: <br /> ? Tnstall ..���;,t,_,...,..__inch water service pipe <br /> � ' � <br /> For .. �".'L ._ � � ' <br /> ._�� ........................................ <br /> On ' -��--2�•'t`� � . , ,,. <br /> .... <br /> ... � , •. > <br /> �-. p ,_...................... Street <br /> L.ot.........�A..�.� �...11.�;".1::.�.:`:'1:'��S1ock No..................:_......._--..... <br /> .. ......... �-..�: - >., <br /> rlddition ................................._ <br /> ....................................................................... <br /> Remarks .................................................................................. <br /> ........................ <br /> , <br /> _.:....................... :. <br /> _ � , ......_.....�. -.--.-• . ..... . . <br /> < _L , - <br /> -, ...... <br /> �i..4�..+ G--. / . ... .. .._. ;..__......�... <br /> �/ _ - ..."".... <br /> � .c.i.1..;..yt:�..r....:.:�.... .�:0:..1..:__:f..::'-C ..._... <br /> , 7 �� '� �.......:iG.-:..--...../...._a,}.,....:,�'.Y..r.'.::YJ................... <br /> ...C�Gt:�.....�::�z::�� <br /> ............................... <br /> ................................ ,C � � ,� . <br /> ................................ ......<..�::�-i:'::1.:.:...�.,_�.........--•--...._ <br /> � — /�/� S perintendent <br /> /C <br /> LABOR AND MATERIAL II3T.D <br /> Na. Size <br /> "••'�-•-----���-•-�-�•-� -��� ��Lead Connection Complete <br /> .......................................... . _ S2ddle Complete <br /> .............`.......tt._.::�::........... <br /> ... .......:.=I..:.c.._...............................................Pipe <br /> . ....................../......�'.::.:......---....... Service Cock <br /> .......................!......:s...:.��.:.:::.:.:i�:. Service Box <br /> ............................... <br /> ........................ <br /> No. Hours Labor..............................................Cost......................... <br /> ......................... <br /> vt in....................Pavertunt....................X................ <br /> ....... ......................Sq.Ft. <br /> . . G..e�.;� •�� . <br /> .��.�_ . ....................�t................_'..._ �. <br /> : ......._............... <br /> ....................X........................ .� <br /> ........................ <br /> ....................X....................... �. <br /> . ........................ <br /> _ Total ........................Sq.Ft. <br /> - - , `� --_____�.__`__ <br /> / ._ . <br /> Remarks...._.................�..i c.ca.......��:�.:: <br /> � ............................ <br /> _.........--�--...... <br /> ? i; i- <br /> .......................................w?....:4p�....:�.:t::.7.....::].h:..�:�' <br /> .................. <br /> .._'_"'_'_"' <br /> ........................................:;?....n..2.i3..-�:�.:................ ........... <br /> ................---•------- <br /> Order Received.................... . <br /> ......_................. .. <br /> �....... ................................. <br /> �Vork Completed.7.::/...-�=���................_ . <br /> _...:. � ;': :�, . <br /> . ... .... .. .. ... . . P <br /> Foreman <br />