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/ <br /> & J. PRI[�!� /�g l I .wv . <br /> W. O. IOIIM 'J <br /> CITY OF EVEF.ETT--Water Dept. <br /> -� ............... , „ , <br /> .. _ .. .. ., -�- � --- : <br /> Application No.c...j.J,..,��.. ....�Date.....�:........................................19�' / <br /> J/ `�nsfall.....:��S� .inch water service pioe <br /> Far .........'.................../........................�.....�. :..�.. ............... . ............. <br /> , �f ��.��..../�/i u >-,.c._.�'.......... Street <br /> On ...................... .... ....... <br /> ............._.-- <br /> Lot................................-�:..�.......-----...... BJock Na.......-��..�..'2..T............... <br /> Addition ............z��. ......... ............ /�.: . ... ................ <br /> Remarks ........... ...�G�!'Z..:.r.Lc`r.:..........':.:._..C<:�c.`.!I� <br /> ,... <br /> ......._.... <br /> ............:2 .........�..__...---... ............ '- �---........ <br /> . . ...... .. . �........................ <br /> .... .. <br /> �^_ / : �.... „ , <br /> ....................7?,r......._L........-:t'........ _S.`....._ •.�':�� �% — <br /> > . . ... .. . ....�.�.:..:�-:.-.---- <br /> � �u cf . . <br /> _.... ............................_._......... ....:�4::_s. .... . . ...'r.:,........................ <br /> ..... <br /> ...��. <br /> ,- ,. . ; -- . <br /> ............ --.:1...(.:...,:�-�:.2�4.:f <br /> .......... ...... ......................:_......�L ...--- <br /> ----- ;f�� Superi endent <br /> � � <br /> LABOR AND MATERIAL USED <br /> No. i 5ize I — <br /> ----- —— — <br /> ........................._�...................�Lcad Connection Complete <br /> ..................................._..............._ Saddle Complete <br /> ..............Q�.....1t.......7�u............. ... ; .G jt_'::.........................:.._...............Pipe <br /> > <br /> .......................✓......../.!.:�:........ Scrv e�Cock <br /> ......................�............................. Service Box <br /> ...... ................... ........................... ..............................................._............................................................... <br /> ...........................�.......................... ................................................................................................................. <br /> No. Hours Labor..............................................Cost..................................... .......... <br /> Cut in....................Paventent....................X........................ <br /> ............._._......Sq.Ft. <br /> //Z Gg�t .!�_�--t... ....................X........................ ........................ �� <br /> [/ ....................X........................ ....................... .� <br /> ....................X........................ �� <br /> ....................... <br /> '_--_ <br /> , Total .......................Sq.Ft. <br /> -------`-------_�•�-. __---- <br /> � .�i � <br /> Rema rks...........................y....._.:}r�t......;.�:......:.1...,�y........................ ......... <br /> -f G� <br /> ... ........_.................._...........1.....!l!:S.J......,.�S:t:'..:_AS..::.-1�:.:�^.:.i................. <br /> ..............................................,z:...�).?:�-L1::1,,.. .......................:.................. <br /> OrderF,eceiced........................._...................... ._.........__............................ <br /> y/ ;.. <br /> lVnrk. Completed...�._r...7....L..-.IFc.(..... ......,...f_..,)....��[l.:ic.a........._. <br /> Foreman <br /> --� <br />