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�J. :. PflIEOI' RM � �� � � • �� • �1� O <br />W. C. IpNM ] ` ti 1 L� �' <br />CIT�' OF EVE?�ETT--VUater Dept. <br />�� � . �- �, � � ) � � <br />Applicat.ion No.....--..:....c._:.i.�; �Date....._::::::'L:Lc�;..;'._.....�---.....1�J"t:l <br />Inscal; .........................::.�.inch water service pipe <br />For .................---........_.......... . .._...........----�---......................_....-- <br />. � ............... ..� <br />On .........:.�..`-��.��.... ......s?7�Y_2_.:l%`-GL:1-/L ............... Street <br />Lot.............................................................. Block No.............._...................... <br />Addition.._.._........._.... - ........................................................................... <br />Remarks_ ................ ........... --- - -.................._.......................--................. <br />..........._....._.........._._...----...._ ................................................. ---�--............ <br />................................................... ......_......_.._.... -- -...............--------............. <br />................_..................... _- _ _ _---��- ...............................................- ........ <br />Superintendent <br />LABOR AND MITERIAL UsED <br />.............I I.ead Conneclion Complete <br />......_....! S�ddlc Cornplete <br />.......... ................................................... <br />...._...._. Sr.rvire Cock <br />............. Serairc Eox <br />...........� ..........................i .._.... <br />No. Hours L�bor .................. <br />Cutin.........__._._._Pavement..........._.......X........._ ............. ........__._...._...Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />....................... <br />....................X........................ „ <br />.................. ..... <br />Tatal ........................Sq. Ft. <br />------------------- <br />P.e �narks ............................................................................................................. <br />...................... . .................................................................................................. <br />Order Reccived_ ...................................__.. <br />\Vork Completed ....................................... <br />( <br />_ - .................. I <br />Foreman <br />