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/�3G �' .� � Y - .�, �� � <br />w. o. ronr a <br />� � CITY OF EVEP.ETT--Water Dept. <br />�pplication No...%%3.�..'�.j..... Date ............................._ i - / _ ( <br />.............19_:..`� <br />Install ...............................inch water service pipe <br />For.......................................................:.........._�.................................----.... <br />,s . <br />On ....:.�i_..�'.�F.........._�%��se:�......�....:�� .................... Street <br />Lot.............................................................. Block No.........-�-�--� ---.........--�--... <br />Additicn.......................................................................................................... <br />Remarks.........,�7.,.......r ............................................................................... <br />No. I Size <br />LABOR AND MASCERIAL USED <br />Lead Connection Comp�ele <br />Saddlc Complelc <br />................... ................................. <br />Service Coch <br />Service Box <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ......................_Sq. A't. <br />....................Y .......... �� <br />. .............. ........................ <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ......._ ............._Sq. Ft. <br />— ----- <br />Remarks.............. .............................................................................................. <br />Order Received ........................................... <br />\Vork Co�npleted ....................................... <br />