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14 <br />/G D 7 7 <br />w. U. FORM ] <br />CITY OF EVMETT--Water Dept. <br />Application No..IZ"27 ... Date ..............? ! 13..........19j:.3 <br />Install............. 3. .... -inch water service pipe <br />For ........../, l G: : e t.:z........ft..r:/f s.:........................................ <br />On ..... -�......................................... Street <br />Lot.................� ............... Block No ........ ............................ <br />Addition.......................................................................................................... <br />Remarks..c. ;,c.car..................................... ... .................. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />..................r.......... <br />............. <br />C... <br />S rvice Cock <br />trvice <br />.................. <br />Box <br />_.. I .............................. <br />o... <br />`_�. i._S.. e... <br />.. <br />_J T........... _............. ....................... _. _....... <br />.`.. <br />. <br />,! ...............:.. <br />�....,.^.............................._....._......................_........................._....... <br />/.._`'Of :.... <br />No. Hours Labor ........... _............... ................. Cost ............... ................... _............... <br />Cutin ........... ....... ..Pavement. ....... ........... X ........................ ....... _.._......... _Sq. Ft. <br />S1 t...................X........................ <br />(� X........................ .. <br />Total ..................... _.sq. Ft.,,, <br />Remarks ............................... ?� e./..: ..1..� .... _ .............`..:.. r............t_1 M <br />' ' -6 3 <br />Order Received.T.nvl;.... jWA.r.r... l4..r..t .'.^.;::.d�:.:..1...._Q!.�I,! <br />Work Completed..........(.!...`.. Z.Y.:..........._.:..............i.........r........:......_... <br />Foremar. <br />