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-� i�.�i;� - _ , L ��. <br />w. n. rosw o I•.� j(" L.l <br />CITY OF EVFRE.TT--�X�ater Dept. <br />No <br />................ <br />, _. <br />Applicalion No...':�..`.:�.�.. Date.....;.'.: :.: � ..............................._19_�..: i <br />T:istall ...............................inch water service pipe <br />For ............................. . . . . . ........................................... ........ <br />. f .................;.....\_ , <br />•' . <br />On�...._c:.:s.r::,zf_:..C. . . r�_,�.t_< ..................... Street <br />...: >..7l..... _ ......:. ..... . <br />Lot.............................................................. Block No..................................... <br />Adclition......................................................................................................... <br />Remarks......................................................................... ........................ <br />Superinle.ident <br />LABOR AND MATERIAL USED <br />Sixe � <br />� <br />.........................I Lcad Connection Complrte <br />......................... Saddlc Completc <br />......................... .......................................................................Pipc <br />.........._ ............. Snrvice Cock � <br />. _ .___... Scr:icc Dox <br />No. Rours Libor ............................................ ^nst.................................................... <br />Cutin_.........._.....Pavement..........._.......X ....................... ........................Sq.Ft. <br />....................X... ................. �� <br />......._ ............... .. .. <br />....................X......_ ............... ........................ �; , . <br />......__..........X ............._......... �� <br />............... _.....-- <br />Total ........................Sq. Ft. <br />--�._--_ ___— _—_ <br />Rem a r k .............................................................................................................. <br />OrderReceiecd ........................................................................._........._....... <br />\4'ork Completed..__...._ ............._......__......_.....__ ...__.......................... _ / <br />Foreman <br />