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A' D. I'crn 1500 3-I-17 C. P. <br />CITY OF EVEKETT==Water Dept. <br />Application No.__%�_0`f�_ Date____._ �. V----- <br />i <br />Install --- inch water service pipe <br />Ior �-tA--J_Lw�-G_4QJ�' <br />On--- -- y! -�3_J. Sheet ' <br />Lot -----�-=------- ----Block No•----�'-7 — - ---------- <br />Addition------------ ---- - ------------------ --- ------- <br />Remarks-------------------------------•- ---------- <br />------------------ -- — ---------------------------------- <br />LABOR AND MATERIAL USED <br />NO. <br />SIZE <br />— <br />1 <br />' v_ _ <br />Leial Coanectlon Complete <br />---___ _.._Z <br />._. <br />_ -- /2__ <br />Saddle Cpmplele <br />-°------- --------------- . me <br />Service Cock <br />------------- <br />Service Box <br />_______________ <br />------ _.... .......................................... ........ ............. <br />_______________ ____________ _____QQ.''_--_-.--_--_-_.________ <br />No. 1{oure Labor__. _.-._ __.0____ ..-.__-Cost ---- ._.--.e----------------------- <br />Cuts in. ------ _-------- Pavement ---------- X--------------- ............ Sq. Ft. <br />..........X ---------- ___ •• <br />X.............. .. <br />X------------- .. <br />Total, ---Sq. Ft. <br />Remarks -------------------- <br />------- ..................... <br />-------------------------------- -- - ------------------------------------ <br />Order Receivetl-.-.----,-- �1�y�y 1---------•------ <br />Work Completed --------------- -1 .✓/�'1i'e vli----------� <br />��(�'� Foreman <br />