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W. D. f011M ] ��/�� •^ /-� `�l I��C � • . <br /> CITY OF EVEI�ETT--Water Dept. <br /> Applicatiun No.f.�.I.v..�'.--. Date.............�...-..�.::.�?...`�........19...... <br /> Install...............................inch water se�vice pipe <br /> For ................................�............�........,.�.�...................................................... <br /> On .............�.�-.j...�. �' 1.....`.5..`5:u.....C.�y.:l.-..:................................ Street <br /> Lot.............................................................. Block No................---•--•�---•--....... <br /> Addition .......................................................................................................... <br /> Itemarks ......................................................................................................... <br /> ........................................................................................................................... <br /> ............................................................................................................................ <br /> ......................................................................................\...... .. . <br /> . ................... <br /> � -LLc. <br /> ........................................................................... ....._A...�--............. ....J....---.. <br /> S�peIrintendent <br /> / .1.-�. _P.[,v' <br /> LABOB ANn MATERIAL IISED <br /> No. Size <br /> .... ............................................ :.ead Connection Comp�r.te <br /> ...................................................... Saddle ComPlete <br /> ......................St............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cosl................................................... <br /> Cutin....................Pavement...................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Rema rks...... .......................................... ....... .................................................. <br /> ......................................................................................................................... <br /> ................................................................................................................_........... <br /> OrderRecei��ed.............................................................................................. <br /> \Vork ComFleted......................................................................................... .. <br /> Foreman <br />