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W.D. mi �78 <br />5.1• Pn ' <br />CITY OF EVE ETT--Water Dept. <br />Application No.._ �._att-- <br />Install ... y �.. _. .. --inch water service pipe <br />�.. <br />--------- <br />For -( .-------1--).'. ] � �•-`----._. <br />On . - - iX '�IC1�_t{_'1'�_ Street <br />..... <br />l- -- Block No.. <br />Lot ---------- <br />`----•-----•----- <br />Addition........ ..--------------------------------- ---------- <br />Remarks -------- -------------- ------- <br />rtf-------------- //................... <br />LABOR AND MATERIAL USED <br />L,nd Connection Complete <br />SAdle Complete <br />------------ ..._..__._-_._.Pipe <br />Semis a Cock <br />Service Box <br />_________________________----------- .------------------------ <br />-------------------------------- .....---- .................. . <br />------------------------------------------------- <br />No. Noun Labor . ................. ...... st: ­C'---_.... <br />------ -- Sq. Ft. <br />_----..__. .... <br />._._ <br />Cut ln------------ Pavement ............ X _--------- <br />_ <br />- .... <br />----......--X------ _..... ............... <br />Cyt'r ..----------X ------------- __---------- .. <br />-------- Total <br />_________________ <br />Rcmar-s------------------------------------- <br />------------------------------------ --- <br />Order Received_________________ <br />------------- ---------- <br />Fot<man <br />