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i <br /> i <br />� <br /> s .;n�mera���� � � ,\ <br /> w, o, ronw v ( •� - �� .` <br /> CITY OF EV�RETT--Water�llep <br /> Application No../%/j�'-. Date....;....�i..=..�:.../_i.................19�:� I <br /> Install............:��.Y.........inch watet service pipe � <br /> For .....�r-Tr..a,c.......4..<�.�.c.�:<:,�:r.-:z_�r.................. <br /> .�.......y�...�Xz���s......................................_.....Street <br /> - <br /> On ................. �' I <br /> Lot............................................•�-----•--.-...... Block No........_........................... � <br /> Addition ................................................... <br /> . ...................................................... <br /> Remarks ...�Z,(r`c:5-.----�e�r.lu.:�..._................................................ <br /> .......................................................................................•-�---....................----........ <br /> ............................................................................................................................ <br /> n , � y <br /> � <br /> --�............................. �..�.�-�..--��-----......................�..j..................�..................... <br /> ..........�y��,'.:�...��....�.C,�}� � Y ...�fs:�._�-��T:�.f..... . <br /> y .................................... "'..... <br /> ��-,j,,;��0 ` Superintet(dent <br /> f.�, d.U��_, �- <br /> �'^��� � ,.��:f.A60R AND MATERIAL II9ED <br /> No. Size <br /> ...................................................... Lcad Connection Complete <br /> ...............__.................................. Saddle Camplete <br /> ..........._�..:;_1t.....::i::;:............... . .:..:.............................................Pipe <br /> ............_._. <br /> ......................:........�::.:r............. Service Cock <br /> ........................::............................ Service Boz <br /> No. Hours Labor..............................................Cost................................... <br /> ................. <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> .. , ....................X........................ �� � <br /> . ......._............... <br /> �� <br /> .. / „ �•� �� . ...................X........................ ........................ �� <br /> / �' <br /> � ....................X................. �� <br /> jD "/�+'' — �n Ga• ....... ........................ <br /> Total ........................Sq.Ft. <br /> Rema rks............................_:......:-•--.....:...........:................................................. <br /> ................................................................................................. <br /> ................................................::...._........................................................._.........-- <br /> OrderReceived.......................................................:...................................... <br /> \Vark Completed.l..Y..r�..:...:::::.i................:..:......:....:..:.:..:..................... <br /> - Foreman � � � � <br />