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. �f���� _,'-j��>,'/ � <br />v. D. IORM ] • <br />C[TY �F EVE2ETT--Water Dept. <br />Application No../....� �. �T/��.�.y Date........_'�'.�...._� ......................19_/"� <br />Install ...............................inch water service pipe <br />. ...............:.................................................... <br />For................................,............. <br />�— � .< i �r-�t.t.� ................................ Street <br />On .......t:../.. �: i.... ....:..c_:./.. �. <br />.... <br />✓ . .............. Block No...................... ....---....... <br />r„r ......................---......... <br />Addition <br />Remarks <br />� <br />. _ .......................................... <br />LaBOR AND hSATERIAL USED <br />Lead Conncetion Complete <br />Saddle Comp!ete <br />Service Cock <br />Service Box <br />..................... ........ .... .... <br />- ............ ......................... <br />Superintendent <br />....Cast .................................................... <br />No. Aow•s Labor ................... ...................... ........................54. Ft. <br />Cut in ....................PavemenL....................X........................ „ <br />....................X........................ ........................ <br />._.._ <br />....................X................ <br />....... ....................... �� <br />Total ........................54. Ft. <br />-----' <br />Remarks.......................................... .................................................................. <br />....................................... <br />. ........................... .......... ................. .. .. ...... .... . ... ........... ..................... . ...... <br />/ <br />' .. . .. ....... ... ... <br />. .. . . <br />Order Recci��ed ................................. .... .... ... .... ...... <br />�Vorl: Camplete�l ..................... .................. ... ..... ........Foreman <br />