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9. J. PNI[FC � � � 9 � � / � �, <br />W. O. �OFN . <br />CI"�Y OF EVEfiETT--uJa�:r Dept. <br />-� � �� ����, � ��or <br />Applicalion No.. :, :�_(_?� J Date...._ ................................--.....19...... <br />/ / /Install............ .. . inch wIat`er service pipe <br />.... .. . . . > <br />FoP ..1..�(.../C-.�G.Lctr2..�..... .. ..f...�. / L4 G-!--'�.c�✓ ................. <br />On .....s�4..�..Q......�.0..�.f.�.tL°.d..... .Q(..VOI ........................_... Strcet <br />Lol............................................. ................ Block No..................................... <br />�dilition ......................................................................................................... <br />Remarlcs <br />LABOR AND MATERIAL USEU <br />___� Sizc I <br />—f -- <br />.,.,, � I Lenct Connection Complete <br />Saddlc Complete <br />..... ............. .... <br />...........I.... _ ..................... <br />......tt ............................ ................................................... <br />......._ ........................... Scrvice Cuci: <br />�,J � Scraicc Box <br />,ll..... _ . .......................... <br />. .. ................................................ <br />No. Hours Labor ..............................................Cost...... <br />C¢t in..__ ..............Pavement....................X.................. <br />Superintendent <br />.................................... <br />........................Sq. Fl. <br />�,L� ��_ y� ....................x........................ ........................ „ <br />`" ..........x ..................._... „ <br />Total ........................S9. Ft. <br />___ __—_.__— _ <br />Re� n a r ks ..................................... .......................................... ............................ <br />% > > - <br />_ ._..... '..... .R=...<.�..��..: ..0 ............................................ ..................... <br />Order B.eceieed...._.... <br />\�'ork Completed....... <br />�.........._......_ ..............................._...... ..F����m;,� ._ <br />O <br />