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r• �.� mi�u[�a' n� ' � •� , ' ��� /' <br /> w. o. roew n r <br /> CITY OF EVE�ET'I'--Vi�ater Dept. <br /> � � �` rL <br /> Application No.���":..� Date....f:�._:...:__f:..._�!......._.....19....`.�, <br /> Jnstall....:�,1�� ......inch water service pipe <br /> . ��. l ,���� : '. <br /> For .....�.....,.!..:.�. ......�1�_.f.--?`::...c. :.......�---.....�...--•............... <br /> On ..................'�J.�..`�r..�...�.��........1..:.':�:!.:::_z_�_�..::..:::...:��,�.. Street <br /> Lot....................................................._....... Block No........_...............---......... <br /> Addition ............................................................. <br /> .................... <br /> P.emarks .......................---.......................------• <br /> � ...!.........--•-�............................. <br /> : � <br /> ,• , . �_- -�� • � <br /> .).............................:... , . ., <br /> .........................L........_.............................."""................. <br /> . .................................. .......................................................""""""... <br /> "".................. � <br /> .r� • 4~ �1-"�' � <br /> ..�...��..�.......:I:�.�...:...... ......................... .. .._. <br /> : F � . . .. <br /> � '` ................... l..1. . <br /> ' � .....1...�.i.�:.............................. .�. . ......�....................... � <br /> . ..... r�.. . <br /> • .......r...`_�.:�..ta-L - <br /> c:� / SuP�rin'ten�nt <br /> / � � _ ' ( \ `+�` ' <br /> . �;� � . LABOR AVD MATERIAL 03ED � <br /> '-�Np, Size � — <br /> ...................................................... Lead Connectian Complete <br /> ...................................................:. Saddle Com{ilete <br /> ..............��,�St..._3/C/............... ...�;;�.T�{��//.,.�-� ...._.......................................Pipc <br /> ....................../.......31.r�................. ServfieCock.. <br /> .............................../............,......... Service Box <br /> . . . . . <br /> . . ... .._.;�.......... ............................................ <br /> _.......................................... . .... . . . <br /> .......... �' .r <br /> ...................................................... .........:..r...l...._�....-�.:..of.-.'.........................._.......................... <br /> ............_............ ................... .. .�/....'.......Gc/.............._......_.................................................................. <br /> No. Hours Labor..............................................Cost.............._................................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> 7 � <br /> y ;� ....................X..._......_........... ......._....... �� <br /> ........ .� <br /> �.[�e,u,e/' ....................X........................ <br /> ......._............... <br /> ....................X........................ .� <br /> ........................ <br /> Totel ........................Sq.Ft. <br /> _.------ ' � — <br /> Remarlcs..........................._........../.�2.�.<i.i._'t.s. .:r.t._........-----............ <br /> .........................................._............k.:�?:tt,.....!:.:�x:r`...::...t:.:�..�.......----.... <br /> ..............._.............................---.........s:..:..a:r.�4:z........---.........................-•---..... �, <br /> OrderPeceive3.................. ............................................................................ / <br /> \Vork Cnmpleted.�/..r..�/..`.S./.......................�::?f�.`..Et.e.::�.'t................ ' <br /> Fareman <br /> —+G;� <br />