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w. o. ro�r a � �� �� ��i O -- ,�i /.3 % <br />r - CITY OF EVEF�ET�'--Water Dept. � <br />Application No....�.7:3..�J�.. Date...........��:�:�:.':��::..._! 19.�.� <br />lnstall ...............................inch water sercice pipe <br />For................................................................................................................... <br />7� � ........./�il r'.�:Y:.v.......... <br />On .............. ....� fr`_.L........................ Street <br />Lot......_ .................. ........................._....... Block No..............--------.....-----�- <br />Ad�lition ............._....- <br />Remarks ......n........,. <br />... ............................................................ <br />LABOA AND MATERIAL U9ED <br />No. Si�e I <br />— — — — <br />..................................._.................r Lcad Connection Cotn ]ete <br />F <br />.............................................._......� S.ddle Complete <br />.......................f t. ............. . .......... ........................................................................Pipe <br />...................................................... Service ('ock <br />...................................................... Scr�ice Box <br />No. Aours Labor ..............................................c:ost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />� ,� <br />Total ........................Sq. Fl. <br />_`-- __�---"---- <br />Remarks ................................... ........ .............................................................. . <br />.................................................................................................... <br />� <br />............................................................................................................. .. ......... <br />OrderReceiced ......................................................................................... ... <br />\Vork Completed ............................................................. _..............._....... <br />Foreman � <br />