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9. J. PRI[[`/ � � � � � � �J <br /> W. O. �ORM ] /�5 /� ! <br /> CITY� OF EVE�ETT--Water �)ept. <br /> ' :.,.,.7. j::at <br /> � licatiorr No.f�_4'... ./_,.. Date........... I <br /> �c�� �.. C � <br /> PP .... ...........................19...... <br /> ,-, I7sta11................. inch water serpice pipe <br /> r•��• .....22..� z+-', ;%:�� ,C' ,�,����:�:......... <br /> ....................... <br /><:<',�,f' On ............�...�..%:._�.......e. ��. .:�:.`?%'L.+(_�--.......... Street <br />,_�_;. Lot.- ....................................................... Block No...........--....................... <br /> �. ,` : <br />_,:.,;. Adcution .._..._...--........._.._..............................................._.............. -......... <br /> �.'~'-. I?emarks ..... .................................. ......... .............. . .............................. <br />' . >: .. . ......... . ................................... ................. . ..... ............... <br /> ...................................................... ..............................•� ............. <br /> Superintendent <br /> � LABOR AND MATERIAL USED <br /> No. I c;_ --- ......... -- <br /> • � <br /> _.._ . .--�— � <br /> -- - <br /> .,.._..... ..............I......................_.. -.cad Conncetion Complete <br /> ................... <br /> ..................____......._. Saddlc Complete <br /> .......................ft............................ ......................................................................Pipc _ <br /> ........._..........................._....._....._ �f[V10E' COC�L <br /> ..................................._................. $CP'rl:G BO% <br /> ...................................................... ............................................................................................................... <br /> ..................................................."'".......................................................... <br /> No. Aours Labor..............................................Cost.....---............................................ <br /> ' Cut in.._................Pavement__._.............X.._................_.. ........................Sq.Ft. <br /> ....................7{........................ ,� <br /> ....... . ... . <br /> . r . , . .t... <br /> iF � <br /> . }� _ !.�.�. <br /> ............ ... ........... .. ....... .... .... <br /> . <br /> .....................{........................ ........................ <br /> Total ........................Sq.Ft. <br /> ___—--____— <br /> Pe�narlcs........................................................................................................... <br /> ................................................................................................................ <br />� ................................................................................ ........................................ <br /> mOrder Receiced ......... .............. ..... ... .......... .............. ........ ` <br /> \Vork Completed ... .............. . ..... . ... .... . . ........... ... ...... .. / <br />°� �' Foreman ( <br />.%^�y <br />��s i,��' <br />��� ` ��� <br /> _� e � <br />� , ' <br /> 37�, t � �aajs,= <br /> r t.;„ <br />��. , � xr�.�. <br />�� • , <br /> x=. <br /> �,"�, <br /> s ' <br />`�'�".. x..� <br /> , . { �. <br /> S` a ' <br />�� ` ��; <br />�K.. . :�c�,i <br />� <br /> :. <br />�tr"' - �'1P't <br />.1F: , . ,-,s�x' <br /> �� <br />