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9`J. PpICB[ 3M����� ,' , �, r? i..Y) <br />W. V. fO,NM �� . . <br />C7TY OF, EV�RETT--�'Jat:�: Dept. <br />< ,; �. : , <br />., _ v . _ , / <br />.... Date.........�>�. d..%.i..C�..f.......19.._G`� <br />App;ication No .................. �� L <br />iastall ........................._.�,jinch �vater service pipe <br />r•��• ................../.7"� _......---J..........._. .. -- .. . .... <br />� � f <br />On ......,.�-�.�........._...._�.:r.xz?-�lY ................f.�......._.._.....---. Street <br />Lot..........._ __......__ ............._..._...... ---- Black No................._.................-- <br />�ddition .._.........._ .......................................................................... ........... <br />Remarks..........--... --- ................. -- ...... ......--......_.............- ...........--- <br />_........... _. _ ................. -- - - - ..................................... ......................----- - - <br />Superintendent <br />LABOR AND MATCRIAL USF.D <br />No. i Size I � <br />Lcad Connectior, Con�plete <br />Sadulc Completc <br />................. .......................................................Pipe <br />Scrvice Cock <br />Scr ✓ice Box <br />. ...........................� .........................i ................................................................._................_...._............_...._.. <br />� � � No. Hours Labor ......................_.........._..--.....Cost..........._........_..........._................ <br />... � Cut in ....................Pavenunt._...._...........X........................ ........................Sq.Ft. <br />� � � ....................X........._............. �� <br />. ........................ <br />.. ....................X........................ ....................._. �� <br />....................X........................ �� <br />....................... <br />Total ........................Sq. Ft. <br />� ----- -- <br />R.emarks ............................ ...........................................................--...- - ...... <br />............ _...... . _..... _ _ ......... .................................................. _ _................--- � <br />.......................................................................................... ...................�-- --........ <br />OrderIZeccieed ......................................................................................._._... <br />\b'ork Campleted ................................................................................._........ <br />Foreman <br />