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W. D-.Form 0 1500 3-1-17 C. P. <br />CITY OF EVEKETT—Water Dept. <br />ApplicationNo._7Z6_-C Date_____ _' <br />�- y ------191 <br />/' DD Installll_�___ ._inch water service pipe <br />For-L9 .. �b. <br />On___-__---f9Lo_:dj_ Street <br />Lot.---;2-7 -2. k ------ Block No ----- <br />. . <br />Addition_____________ <br />---------------------- <br />Remarks _ _ _ _ _ <br />------------------------------- <br />- ---------- <br />____ _C Supc mt{ endent <br />LABOR AND MATERIAL USED <br />NO. _ I SIZE <br />_ __ __-__/--..��-. <br />-_____________ _ _--_ <br />I_______________ ____________ <br />�___________________________ <br />I Lcad C.... nection Complete j, ( 01�1J <br />Sa;idle mpl q0 <br />__.____--._____ ..Pipe <br />Service Cock <br />Service Box <br />.-___-_-_________________.__ ___ 1 <br />------ __ ____________ _______________________________ <br />.__.____________________ <br />No. Hours Labor ____---.-__-_-Cost--:�_- <br />Cuts in-_______. _ --- <br />__-.. Pavement_-___.-._X___.. ______ <br />i -__- ------Sq. Ft. <br />---------- X_----- ______ .. <br />X__.____--_-_ <br />--X----------- .. <br />-� Total, _ <br />-----Sq. Ft <br />Remarks_._ Z 1 _ q L — <br />-- -- - - -- <br />- -- -- -.- -- <br />- - <br />Order Rece?verl --------- <br />y <br />Work Completed _______ <br />1 1•oreoa' <br />