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�. a. nnirnc <br /> � 3 77S -- ' <br /> �,�c'+� <br /> w. o. ron.+ o <br /> CITY OF EV ERET"r--Water Dept. <br /> .._, <br /> A lication No._..._._�.� '' Date.__._.__....r:�:..;:_.....!�t�.�. .._---.19...... <br /> PP _ l �� r i, <br /> lnstall......._.. . ... _....... .inch water service pipe <br /> For . ..�/:��..tG 7'4r�..._..��;r4.t .`--G�C c......... ....._.............. <br /> On .........(.f�...._].. ............... .............................Streel <br /> .. i . <br /> I ]ocec No............... <br /> �.ot._....._.... .�.�...�.�,G.,�=,� ..... ...... . <br /> .��a��so� ......_ ._...........................__.. ..... ......_............._......................... . <br /> Remarks ..........................._............._..........._........_............................_...__. <br /> __._......._........_.................................................................................................... <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> .............._............................. ............................. <br /> ............................._._..._....... ....SuPerintendent <br /> LAAOR AS�D TiHTIRIAL USED <br /> No. ' Size i _____— — -- <br /> _—_ _-- <br /> 1 <br /> ._....._..._............�..................__..._ Lead Connection Complrte <br /> �........................_, S�ddlc ComPletc <br /> ._._................... . <br /> ._ft.. ..._..._.... _..._............_................................._Pipc <br /> .................... .......................... <br /> .......................... <br /> ........................... Scrvicc Cock <br /> ........................... <br /> _.._.................._. Ser�icc IIox <br /> '�! ..__._.................._..._..............................................._..._ ........._...__.... <br /> No. Hours L�bor..................._................_.......Cost.................._.........._......_..._....... <br /> Culin....................Pavemm�t....................X........................ ........._............54 Ft. <br /> ....................X........................ ................__. .. <br /> ., <br /> �I.�:GC_� " ��-�S'.� ...... ...__......X........................ ..................... <br /> .� <br /> ....._.............Y..._...............__ ........._............. <br /> ., <br /> Total ........................Sq.Ft. <br /> ----------- <br /> ............................................ <br /> Remar s............................................... . ............... <br /> Order t:ecci�•ed._...�.........._....._...�..... .._.........�................._�.............._.......� <br /> \Vork Cmnplcted..................................._ .....__... . ...._. . ........ __._ .._ _ � <br /> Ebrrman <br />