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6 i'PP160[ �N 1 � V � 1/� / V� <br />W. O. /It11M ] <br />C TY OF EVE ETT--Water Dept. <br />A licat�on No ..................�.... Date..........; ;' ur� . <br />. �020 / �s'.:'.i.i......../s4?........19....-- <br />pp � �" r inch water servic�e piPe <br />I Install..._.r......��.•--......... J <br />�`�'�A-�� �::r..:!-.Ll....l..`t.:A:�.:c:c:._c.i,,...:::�.f..�_:-.::..:::_�.:!:::�:'... <br />For ... _! .............. <br />� n�D �� ...:.............................................. Street <br />On..1.� :..: �...- :.................. . <br />............... � <br />Lot .................c:�...!i:........................, $lock No......3..._.._..............•--.. <br />�i ,� c..� J __r 7�: :�: t.�.. ..�..i......� ........................... <br />Addition ................ ................: •' .� y,,, <br />I?emarks <br />........._�.Le..:�:s !._�.�-':. . . � :.....:::..1%.t:.: c-_="�. ..................... <br />� <br />Superintendent <br />.{ ; t, i_...c t.--�,i <br />LABOR AND MA1'EFIAL II3ED <br />Lead Connection Complet � 'l�— <br />Snddle Complete . � P,P <br />� . ..� i.�`-�' � <br />.:.G:;.l :::......................................../ �. .. �� � <br />v i , { <br />scrvke coox ,-, ,,,� <br />Service Box <br />`a4 <br />No. Haurs Labor ..............................................--- .......................S Ft. <br />Cut in ....................Pavement....................X......._............... . 4�. <br />v_----" ......._ ............... <br />� <br />...................X........................ ........................ <br />Tota] ........................59. Ft. <br />� ------ - , .—� " . <br />--------'— i� :1..,: �. !i ............... <br />. ................... :...._�:.:. . <br />Remarl�s ...........................•--�.. _.�.:..:: ._..... . . <br />r" - .�;.....i..� :..::........... <br />......:......:..:.:................... <br />............................................._.._.:!.._. <br />OrderPeceived ............................................................/..... ...`...................... <br />y :: ' ' ;1..::.. . ..�: ;:z u.. �,.......... <br />\Vor�_ Cumpleted..�l ..:.' ...: . . :. ..:........... .... ..'. L'oremar. <br />