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_ � �,� � �/ ;�= � <br />w. o. r <br />CITY OF EV�RETT--Water Dept. <br />Application No..: .......J...... .� Date .................J...:".l_...................19....L . i <br />Install......._ ............../.....inch watzr service pipe <br />For :�.�-,�� � - <br />� / <br />_. t.s ..:...:.. .. .....:............_.....,:..__:.._..:.... _.................. <br />............................... <br />, i - � / <br />On ......._:'..._ :. .......::..... :....... --....�_ :.:.... . ..... :.....:.,.......C....��....:.... Street <br />Lot.............................................................. Block No................................... <br />� d u iti.or. ........ _ .......................,.........._...---._ _......_.......... .............................. <br />/ <br />Ren:arks ...................._......L_..�......:...::..:...._..:_... <br />..:....................... -- ... ... <br />Superintendent <br />LABOR AND 71SATIiRIAL IISED <br />No. >ize I <br />_—_ . ... ................... ...i .-- _.— <br />. _ — —.�__ _—_ <br />I I Lead i;onnection Complete <br />_ ................................_..__........... S�dd:e Complete <br />. ........_...........ft � ....................._....I .................. .............--...._......... <br />,.....__......_......._....__..._...__...... Scrvice Cod; <br />.......................... ................:._...... Setvice Box <br />..........................I...........................I .................................................................................................. <br />_.. _ ................_.............._.............. ..._................................................................_........................_.. <br />No. Hours L�bor .............................................Cost.................................................... <br />Cutin .............._.._Pavemcnt_..................X........................ ........................Sq.Ft. <br />....................X........................ �i <br />............. ........... <br />..._ ..............X..................._... �� <br />................. ..... <br />....................X........................ �� <br />... .................... <br />___ <br />Total ........................Sq. Fl. <br />= ------------- <br />P,einar]c;,,,y,,::_ ............................................................................. ..... .... -- - <br />_ � ���' <br />... ..... _ ........:..........................".............................................................................. <br />— � . —. <br />n I _ <br />................� (..L......i...��..........L.2..-.................................„........"""....................... <br />OrderReccioed_ ................................__....................._.................................. <br />\Vork. Com�il„ted._ .................... _.._.......__.._... _ . ......_................_........... % <br />Fornman I <br />