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tl. .1. ^RItBC IN ,��� � , ' '. _ <br />M'. O. IORM .1 <br />' C�TY OF EVFRETT--Water Dept. <br />Applic,ition No..�.gg�.......... Date.........Feb....19y...],959:......19...... <br />Install......._3f�y?! .............inch water service pipe <br />For...... Gep,...E....Du11 ...............�--.............................................................. <br />On ......._ .�,.. �c'� �:.,� •'� .. Street <br />�802...4tit�i._�`.. � .......................�,..................... <br />Lot...................................�,...................---. Black No.......�........................... <br />A!ic3ition ......Queesl..A�+a .......................................................................... <br />Remarks.......................... ......._................................................---� - - --- <br />No. i Size <br />..... ........................ .................................................. ....... <br />.............. ..................................�,...Bei.' �. `.......................-�-- <br />fl.v.2� �uperinlendent <br />LA[iUR A1ND MATF.RtAL USED <br />Lcad Connection Complete <br />Saddlc Completc <br />.............. ........ ......................... <br />......_......__.... Service Cock <br />....................... Servicc Box <br />A•o. Hours L�bo^ .............................................Cosl.........._......_......_....................... <br />Cutin.._ ................Puvement........_..........X........---............. ...................._..Sq.Ft. <br />...................X..............._.._... �� <br />......._..........._.. <br />� ...................X........................ �� <br />........................ <br />� ....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />Remarks .. ............................................................ ............... . <br />Order Receiced ............................. <br />1Vork Completed ......................... <br />B <br />