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: _�jr :` ='„' <br />w. o. ronw � <br />��iG-� ,��� ? - i ::' �. = - <br />� CITY OF EVEkETT--Water Dept. <br />�'/.��i4'_ .5-�-�-� ..19.'"'_ <br />Application No........._-......,.. Date ........:................... .............. . <br />Tastall .............................. .inch water service pipe <br />For.................................-.. � ........................................................ .......------ <br />„ <br />On ^;: ...,':........:.: _.:,.....:.:.. � � . � .�.... :::.t:........ Street <br />/; � :: ci �.': c-�, d.� �' � <br />......... 7:.. ....... .............. . <br />1,ot - - ............................ ................... Block No..............-�---...._-.......... <br />Addition.............. - -.....................----- .................................................... <br />Remarks......._ .............. . .... ..........................._................... ----- .........._.. <br />................/��'G`�.............. � ..................................................._.................. <br />................... . ...... .......................... - <br />LAIIOR AND MATERIAI. USEIT <br />Size � <br />..................I Lead Connection ComPlete <br />.................. Saddlc Complete <br />.. ............... . ...................................................... <br />................_ Service Cock <br />.................. Service Sax <br />No. Hours L�bo:...... ........................................�os�.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ ........................ <br />„ <br />Total ........................Sq. Ft. <br />— — --- <br />Remarks .................. .......................................................................................... <br />Order Received ................................... <br />\Vork Completed ......................_....... <br />G <br />