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� �91 �� .- :�:���-; <br />i� �/ <br />!1. J. PRICBC 3M, <br />V�. U. fOPM ] <br />CTTY OF EVEI�ETT--Water Dept. <br />;t,=r; � �,uc �; � <br />Application No .......:....:�. .:: .`..1 Date.._............_...............................1�1...... <br />Install ........................._.. .inch water service pipe <br />r�� /.......................................... . <br />_..... _ _ ......... ....................... <br />On�.�/.�..__'-......_.S%..�..�:.......�t.�.._......- ................ Street <br />Lot.............................................................. Bleck No......................._............ <br />nr.l-lition ....._ -.._._......_..........._........._...._..........._ ................................... <br />I?anarks .......................................................... <br />.......................................... . <br />_ .. ..................................... ..... _....... <br />.. . .... ... <br />_ . .................................._..... . __......._.. <br />.............._.._.................. . . .. .. . . . ..... <br />Superintendrnt <br />I.ABDIi AND MATER/'�L USED <br />No. Size ' . __.----- --- <br />- — -- — --- �----' �-- - � <br />..... .........I......_.._____..._.!, :..ead Connection Complete <br />.......... . <br />. ...._....', Saddlc Compiele <br />._ _ ..................... ........... .... <br />� . ......... ..............PiP:: <br />..___._...........ft.. ... ... _...._....._._........_......_... . <br />....................... _ . I <br />_. _.... _ .......................... <br />... .........._ Scrvice Cock <br />...,.... Scrvice Box <br />..._............_ .............._...........___ .. <br />......................... <br />.................. ...... <br />-- <br />N,,. Hours L�bor.._ ....................................._Cos[................................................... <br />Cut in ..._...Pav�mcnt ....................X........................ .............._........Sy.Ft. <br />.... _..... . <br />......... ...........X........................ ....._.................. .� <br />, ,� <br />....................a........................ ....................... <br />............._..... <br />X ........................ ........................ „ <br />Total ........................Sq. Ft. <br />_ --- <br />_ -- <br />. . .......-._ ......................................... <br />P.emarks........_.._._ ................................. <br />_ ..... ........ ....... <br />.. -...._ .............._................................................. --- - <br />OrderReceived.._ ....................__....................._.- -............................_... <br />\vor�� Ccmplcted....._...... . <br />............_........_ ...............__._...........__..... _ <br />For.^.m�n <br />