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�J. J. PlilE�E =M � � � �� , . <br />w. 1�. fORM ] �� � � <br />CIT'Y OF EVEF.ETi'--��Iater Dept. <br />�'. �_; �% �:� ; " / . <br />� � � � i <br />A-?'ication No........_--_...._ . Date........_...�.�-,:.:1�-s_.....1.....19_!�'� <br />Tnstall .............._.........(:/.inch water servi+:e pipe <br />r;,l• . ......._... ............. <br />._......_ .../...................... .... . � � � J� <br />. ... ... .......... ........ <br />On .......=��. (f. �...�.....�...�.1h.7'«_ �... ,.'`-/t/Y-C�{ :.................... Street <br />Lut.............................................................. Block No..................................... <br />gri�lition .........................................__......................._....................-............ <br />Rcmarks.........._ .......................... -- -.......................................................... <br />� �. <br />_ ........ ...... ........... _........................... _.... .......--.. <br />__'+`' c�-o� <br />.._...___ ...._.... ..__ ................. -- • ....... .......---�- ......................-- ------ <br />.^ ,.. <br />........... . .............. ................... ......................... ............................. ..•-• -�� <br />� - �13 - �/ <br />.. ....................... ...._.................... ......_................. .................... <br />Superintendent <br />_— __—�_------- <br />LABOR AND 1VfATEIiIAL iISED <br />No._� Size 1 <br />--, <br />........................ <br />........................ <br />Lead C.nnecfion Complele <br />S�ddl� Complete <br />u�. uo�� s t,,no� _...._ _ _....._..._ ................c�5�.................................................... <br />Oitin_......_._.....P,ce;nent._...__..........X ................._..... ......._.._.._.......Sq.Rt. <br />....................X........................ ......._............... �� <br />....__.._.......X.........._............ „ <br />, ........................ <br />._....._.._...X ......................_ �� <br />................... _ _. <br />Total ................._.....Sq. Ft. <br />� __----- - -- - . —_ <br />Rc:�narks ..................._.........._......_...................--......- ....................._........... <br />.........._ . ........ ................_............................ <br />OrderHecc:�ed_............_...._ ............................... - <br />V;or�: Complcted.._ ..................... _ _..._ ......._ ........ <br />��� � �Foreman �� / <br />