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_ W. D. Form 3 1500 3-: r_ p <br />-CITE' OF EVE�2ETT—Water Dept. <br />Application No. Date____ Z_8__.____19Iy`i <br />• n <br />Install ___r _. __ .___inch water service pipe <br />For-------C/,(�% — ----------------- <br />On_._.__?_-S-OA____=�__:� _° �_ ___ _-_.__-__- Street <br />Lot.6Zz__gu-�-3p---- Block No------ SS <br />Addition-- - ---------------------- ------------ <br />Remarks----- -- - --- ------------------------------- ------ <br />-------------------------------------------------------------- <br />-----�i_ t -) I---------------------------------- -------------- <br />F" ----- <br />--- --------- - Q <br />LALOR AND MATERIAL USG) <br />ND. <br />612E <br />_ <br />------- <br />51FC4A7- <br />Lend Connection Complete <br />(,____ <br />Saddle Comte <br />__cy -----ft. <br />---- <br />--'=.✓-d-_ ____-_------ <br />/_-__-___ <br />Service Cock <br />--/-. ----- <br />Serv;ce Box <br />------ Pipe <br />pp � rro <br />No. Hours Labor -------- 0_....... __ __Cost__->1.._ __________-____________ <br />Cuts in--__ry . ___.Pavement ---------- X-------------- --------- _Sq. Ft. <br />-----_.-X------------- .. <br />___X.----__---____ .• <br />X------------- �. <br />Total. --------- Sq. Ft. <br />Remarks- :D 3�/- ::�,....�+....s2---------------- <br />__C�7o� r - :�.-;<_..�eJv✓ u:��vLe%t_Aofza¢s------------- <br />Order Received ------------ --- ----------------------- ----- <br />Work Completed --- �e_,_�C__(cr-r - ? ------•------- <br />Foreman <br />