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w. o. rcnr+ 7 ���� • ��/ Cy <br /> CITY OF EVEKETT--Water Dept. <br /> . -� � , <br /> Applicalion ATo.�:"../,�'.... Date.......,.:�=`/•t /G . .191.� <br /> 3 ........... `�............. ........... . <br /> I:is[all......�Y.�.. inch water service pipe <br /> For .........�j:.r1.:.-',�i[..�2<:�r�..........................................._.----........ .. <br /> ; . . .. <br /> On ........._.:=:..'.�/.�`.......�'.'��l.:c_................................--....... Street <br /> Lot.............................................................. Block Na....��:j.. <br /> Ad�lition .......................................................................................................... <br /> � �� <br /> Remarks ../.I..{{rc.� .Zv�.�._�:�..-....cf.;:.r�s:s—.-.—_r..��':,'.:--�-:�_ <br /> ............ ........ ...... ........ , <br /> ,�.-,:`�:.......................................... � ............................................................ <br /> ......................... ...................................�.........................................................-- <br /> ..............................................:-=.!�..................................................---............. <br /> � /�L <br /> ............................_......u�/ .............................._.............�:�[V..../.:r.....-1=1.•� <br /> --- j„�i ,� Superinte�den� <br /> ��.���� ' ,�i �r <br /> � <br /> LABOR AND MATF.RIAL USED <br /> No. i Size I <br /> --__ �_ --�---- — <br /> ......................._�...........................i Lcad Connection Conp?ete <br /> ...................................................... Saddlc Complcle <br /> � . -. , .� <br /> , - .._ ..- . �� ......Pipe <br /> ..............r__.ft............................ �..:.._�._,..... ...;:.,.. .._................................ <br /> , <br /> ................................._.._............. �lrvice Cock <br /> ............................._....................... Sersice Box <br /> .................................................... _._........................................................................................................... <br /> .�.......................... ................................................................................................................. <br /> No. Hours Lnbor..............................................Cost.................................................... <br /> Cutin............__....Pavemcnl...................X........................ ........................Sq.Ft. <br /> ....................X....._.................. �� <br /> ........................ <br /> .................._X..__................. �� <br /> ........................ <br /> ....................X....................... ,� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> ---- --------------/ <br /> P.emarks....�..5..:......r'r.�..F.L�c'.......{,:t.....�e�i.'.1. 1...................................... <br /> ^ _. , . <br /> „j .� ,_, i- ,� ... ,, . � . � <br /> � !' �i.._�................................. <br /> ! � . ,. • <br /> .,{_...... ../._...:�.�...._i..:.......s_..r................. ............. <br /> ,_ . <br /> , .. -7- '�-'. ,,, .. . t� .� �-•. ;. • <br /> .......�1�..:.:..'............._..........i..r..1....ti.-.......:......:.:_...�.......................................... <br /> OrderReceiced..........._................................_...._..._.............................. __. . <br /> , � . <br /> \4ork Campleted...:��..:t.:.:'-.:..�_..�........�..,,:��t:�.:..:..i..: .,..., <br /> _..........:::. <br /> '�.. <br />