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� � � v,3 , , <br />�. vnaec'x �r � i � <br />w. c. ^onw a � - � i';�_r... � . . <br />CITY 7r EVE�tETT--W'atei Dept. , <br />- � _ ,- � <, <br />� �. �•� • J� lq~I � , � 1 . <br />. _ , .. '. . . �� . �_ <br />Application No .....:.................. Date_-� -..............._.___--..............19---• <br />_ Install..._ .............�.........,..inch water service p:pe <br />� / I <br />� , r ' , <br />For ' � � � � ' - <br />........� ...............................,....._....._:.......:.....:..............- --.........._--�---...... <br />�� „� � � <br />Or' � / �-=��----- ,�.✓..::"._'�.:-- <br />............ ...... .... Sireet <br />......................._....... <br />Lot............................----.............--- �---'--- Block No..--�-------------•---........ <br />Addition.._ ................................... .. ..............................._................._-�-- - <br />� <br />i4 .(�/ i . .. . <br />1 i � �. � � / i� . . • 't <br />i � :' <br />...... F ............._.....::...1:....::................:...... <br />� �'/-,. v� ' . _' <br />_ / 1 <br />LABOR AND hiATCRIAi. II'iEll <br />No. I Size <br />..............................................._..._I Lead Connectian Complete <br />..............._...............---._................ Saddle Complete <br />...................%..ft..........-..._............I .......:':.: �...:...:............................ <br />........................ ................... 5ervice Cnck <br />...... .. <br />......................_!......__.........,......... Ser��ice Box <br />No. Aours Labor ..............................................Cost.................................................... <br />Cctin ....................Pavement....................X......._............... ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X ....................... „ <br />.................... ... <br />....................:C........................ ........................ �� <br />Total ....................... �q. Ft. <br />— ---------- — _ <br />--- <br />Remarks .....................................:3................: - ' - _ / _'r.:,._, ; ,. <br />Order receivc�9 .................................................... <br />\Vork Cmnplr,ted ......................'._..._.................. <br />F'oreman <br />