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5 J.Drie6ef:.1'1.462�/ 9 � ✓ <br />W. L FormJ <br />CITY OF EV�'RETT--VJater De�t. <br />Application No...._�2..i..L..:1.... Da e_ ...........................:�-�C.....19:..,•') <br />J Install...�.. ..-a'.y�!:�...........inch water service pipe <br />. !.. _ , <br />For........:�I.:�I�.........�;.:.;::.�_.+ ..........:..::...:..::......................----.....- -- <br />,,� � ,, . ' , <br />- � i...-• �..r...r,.u_�:..,t__...P � � ;_,�_. Street <br />On .._ ...........:._..,........... _._..... ✓.:............. <br />Lot...._ - /.:?-..:4:...%.�a.......-- ................ Block No........_!a-..Q......._:�J:..$-,.�%;. <br />_, ,� f ,. . � <br />P.ddition 'r '� � <br />. . _. .... _ _ <br />Remarks �`� ' ' ...-'-` (`-��.. r!n.....,� �G u ^...:. "'%b, <br />. <br />........................-- ...... . _ ... ..----� <br />'� .i,.r,�! -U��� c.%u<i.-fi�� .�..1'._�- ;' r?�sl.l � � ...�....*y(r._tc.' <br />� � ' � ..... .4.. .;.' - � -' � <br />�..� ........ .................::........... ....•`--.... ....... ...... �- <br />,,..r, . ,. _l,c . <br />........__ ................ � _ - � <br />/, ;� � � <br />� <br />......._:Rr�k . ........ ..............V_.......i' Ll....................._.-.::L.:i:::../�....[�._i.:-__+ <br />I <br />, ,�/ / j � � � Superintendent <br />/� ''$!? "Y' � i . „ , <br />No. <br />v~� LABOR AND NaATER[AL USRD <br />Lcad Connection Complete <br />Saddle Complete <br />. _ ....................................__._..........................Pipc <br />Service Cock <br />Service Bor <br />.. .. _........._ _........... _ ............. _.._...._....................... <br />_ _ ................. _. _................... _................................., <br />No. Ficurs Labor ..............................................Cost.................................................... <br />Culia__ ...............Pavement.........__.......X--.............._...... ._.....................Sq.Ft. <br />....................X........................ ........................ ,� <br />....................Y........................ ........................ ,� <br />....................X........................ �� <br />........................ <br />.. Total ................._.....Sq. Ft. <br />............... _ _ --------- I <br />Order Received ................................................. ....r...:._�'t..4..��.;�,l,e,........ + <br />/ • � <br />P: ork Completed....'�......i.. :.:.... � :.............:...:.:_..r.::..� .�.......................... <br />Foreman <br />