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e. �. Pv��a�•,l �J `t J � i� � � <br />w. o. ran.+ a ' � ��=J <br />CIT`.t' OF EVFRETT--Vi1at��r Dept. <br /><<,� � G. ��� �� ; y,=� <br />A�plication i`1o......._.... _r.... Date ............._. ..._.........................19...... <br />1 Install......_� :.............inch water serv_ce pipe <br />`�Y2 �'C �(.i....._......rt...::L �i,..:<.:y_.,,:- :.:.............. <br />For ................... <br />. ...._ _.. <br />. � <br />On ....._...... ��...�". ' . � C..... �..i!�..i..:f��''.:t�7.1�:_......... Street <br />�< ....-. � <br />Lol......._ .............::._..........._...................... B16ck No.......... -.._.................... <br />�rldition .........._.. _ <br />__ .........._......_- _......._ ...... ............................... <br />Remarks............................................ <br />...._..._.........-- .................- - <br />_ .......................... <br />Superinter.3ent <br />LASOR AND htATER]AL USED <br />�-- --- �------- <br />................_I i.cad Conncctiun Complete <br />..................i fi.:ddlc Co�npletc <br />......I Service Codc <br />Scr✓icc Box <br />No. Hours isbor ..............................._.............CosL.................................... <br />............... <br />Cutin..._...__._.._.Pavement..........._.......X ................. ........................Sq.Ft. <br />. <br />_......_..........X ........................ „ <br />........................ <br />....................X......... „ <br />............... ........................ <br />....................X........................ �� <br />........................ <br />Tota] ......._......._.....Sq. Ft. <br />-- ------- <br />- -- _ <br />Semarks......_ ............................ <br />..._......_..........__ ..................... - <br />....................................... .. <br />Order Hecciced............_........ <br />\Vnrk Completed .................. <br />_ _.._...__ ...._. ......____ .._.... <br />Fureman <br />