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w. o. rOR�+ ��/ � � .Ii �< - .. <br /> - � - CITY OF EV�tZETT--Water Dept. <br /> Application No.r:.:.:' .:.'..%..,�.� Da.e.............:ti...:.._�......................19.. <. .. <br /> -r I�stall............................./inFh water service pipe <br /> For .....:�!_"A�=L.s.L6..t:::.:......._l`..y:L3.r:..u`..4.`<•/:..................................... <br /> ��,�).. , :.'�s- .....�:.::1/5.1::::::7:'.a:.�:................ $tl'0Ct <br /> c <br /> O77 ............................ ....._r.....:...... \ <br /> Lot.............................................................. Block No..................................... <br /> �dclition .......................................................................................................... <br /> Pr.marks ..... .. ........................ <br /> ............................�_.................... _�.._........ <br /> / . i � <br /> ............................................ <br /> L...j....e.:..�.:.:.:....�t...r..�..::z:..:................................. <br /> ................................................................................................._.......................... <br /> .............................................................................................................................. <br /> ............................ <br /> ..............................................................................................SuPerinlendent <br /> LAtsun AND MA'TSRIAL USED <br /> —Nr. i Sizc I -- — <br /> —_.__ __—— <br /> ___ <br /> � Lcad Cnnneclion Complete <br /> ....................................... <br /> ...__....... <br /> ............................ <br /> .......... .............. Saddlc Completc <br /> ......................Sl.. ....................._Pipe <br /> ............. . ..................................... <br /> ............. � <br /> ............................. <br /> .............__....... Scrvicc Cock <br /> .................. Scr�ice Dox <br /> ...�.�..�...�._.._.._. .....................I ...................................._...__......_...............�..........._....._.._._......... <br /> ........................Cosl.....................................__........... <br /> No. Hour+ L:�Uur._. ............ .. . . <br /> Cutin.._......... ......P3vement....................X..................... ........................Sq.Ft. <br /> ....................X........................ ......._............... <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> Y........................ ........................ �� <br /> _ _...............^otal <br /> .........._sy.r�c. <br /> ----- <br /> ----- <br /> Rer�a:ks. - ..........................r..._.. .......................... <br /> ._.... .....�...,.._.................. <br /> ..f ( '`.R , /� ; 1....�1� - f � <br /> ,-i ..i- _ .n. .?.._aw. ........ <br /> � ... .1.........i. <br /> ..:..:..... <br /> ... ....... ................... <br /> .. .............._,_ .f................ I <br /> ........................................................................................................... <br /> i <br /> OrderReceiced. ._.........._.... ..................... .___.......................................... ; <br /> � . _........_......._..__......_..� <br /> 1�ork Campleted..._..._..__......... ...._.___ .._...._. . Foreman <br />