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�' <br />w. o. ro�w a �� � •��- � �— �3/�• / <br />- - CITY OF EVEF<ETT--Water Dept. <br />Application No.../7.3.�`f .... Date .................................: 3.'_�:19.�t� <br />Install .............................. .inch water service pipe <br />For.......................................... .................,................................................ <br />- - <br />! � . ... <br />On ......<...�.�.� i2r-,�-��:!t!..... �:�`Q �... <br />................... ............................ Street <br />Lot.......................................... ��................. Block No..................................... <br />:lddition ............................. <br />............................................................................ <br />Remarks ......yt........�.... <br />........................................................ -- <br />............................................................................_ ._.. .. <br />.............................. .................................��.. <br />LABOR AND MATERIAL USED <br />Size <br />..............I :,cad Connection Complete <br />..............I �nddle Complcte <br />............. ................................................... <br />.._...... Servicc Cock <br />... <br />............. Scrvice Box <br />...........Pipe <br />No. Hours Labor ..............................................Cost........_........................................... <br />Cutin ....................Pavemenf....................X........................ ........................Sq. Ft. <br />....................X........................ ........................ �� <br />....................X........................ �� <br />..................... ... <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />---- <br />Re m a rks ......................................................................... <br />............. ................... <br />Order Receiced .......................................................... <br />\Vark Camplcted ...................................._................. <br />Foreman <br />� <br />