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f <br /> I <br />' <br /> ' ' ����� ' - ,�, <br /> w. o. ro�u a �1- '� ("�t% <br /> CITY OF EVEF.ETT--Water Dept. <br /> , _ , <br /> Application No..�l C;:.:/�'. .... Date........:.::....:.�............................19.1 J <br /> Install...............................inch water service pipe <br /> For ............................... ............. <br /> . ................................................................. <br /> ., r-- T, <br /> On ..,.::../'.1..1:..._l�'.....�::�>?t �ri,.:'........................................... Street <br /> Let............................................................. Block No..................................... <br /> Addition .................................................. .............................._..................... <br /> Remarks .......................................................................................................... <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> ......................................................................................................................... <br /> ........................................... ............................................................................... <br /> Superintendent <br /> LAEOR AND MATERIAL IISED <br /> No. Sixe <br /> ... ..................................._�Lcad Connection Complete <br /> ...................................................... Saddle Complc�te <br /> .......................ft............................ .............................................................---........PiPe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement......._...........X........................ ........................Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Tota] ........................Sq.Ft. <br /> — ---- — --- <br /> Remarks..............._....................._................_............ ...................................... — <br /> ....................................................................... .................. <br /> ......................................................................................................................... <br /> G:der Received............................................................................................... <br /> \Vork Completed.................................................................................. ...... .. <br /> Foreman <br />