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d <br />.� � . � e. a. r.naec/ � �+ li.� V � i � <br />. w.o.ionwa ?i �/ � ( .,. <br />CITY OF EVEKETT--Water Dept. <br />A]ication No......R.. v: •.,� Date............ �l c! i?6( <br />PP e�:� u ' ....................................19...... <br />,7'ns`�TaTT.�.."."' ......................inch water service pipe <br />� , c. . (,', <br />� ; , �. .�:. � ..:.::..:...:...:..............................�. <br />�r ..........:................:.............:............... <br />'""/_ `I' C ' : ..,. � ....... <br />On ............................:.. �............... �..�.�1:�.:.:..:......!..:.:�:.:.:.t.:::� 'Street <br />....... ..... . <br />Lot.............................................................. Block No................................---.. <br />Adclition................................................ <br />............................... i ........................ <br />Remarks .......... <br />...................._ -- <br />%� i <br />LABOR AND MATEBIAL USED <br />No. j Size <br />-�•�-.���..........I Lead Connection Complete <br />....................� Saddle Complete <br />� ���.......... Scrvice Cock <br />� ............... Service Box <br />................. .. ................--- <br />Superintendent <br />.......................... ..................... <br />. ...................... ....................... <br />................ <br />No. Aours L�bor ..........................._.................Cost...... <br />................. ............ ...... <br />.... <br />Cut in ....................Pavement....................X................... .... .. ...........Sq. Ft. <br />...... . <br />....................X....................... ....................... ,� <br />...................X....................... �� <br />............ ........... <br />....................X... ................. .. ,� <br />............. ...... ... <br />Total .......................Sq. Fl. <br />--- — — <br />Remarks.......: � ----. ... ; �� — — <br />.......,.1.i.:......:.;.c. / � <br />; . . .................... .................... ............... <br />... .............................................................. ....................... ................... ............... <br />..................... .... .................. . <br />. ... ............. ............... <br />OrderRecei�•ed ............................................................................................... <br />�Vork Completed ............................. <br />.......................................... <br />__. <br />Foreman <br />