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�� / �� /.'.Ji-j .. <br />w. d. rar+r.Ia- " <br />� CITY OF F.VEFtETT--�`�later Dept. <br />. -_ . <br />; , ��, . <br />Applic.�tion No.�..:,'._�..J...;... Date ..............:�._...../.......................19...�� . � <br />' ' h yvater service pi_7e <br />Insta :.............................. <br />� � l: <br />� � i / <br />� ..... ' l � ...:... ...... ... ........ <br />.... ' <br />/ .; <br />Foi .r }- <br />,� l- , ' .. / �� .� <br />Onx�:.. �, .::.......: ::'-...::.:.'> , - - � __ - . St:eet <br />............ ............................ ........................ <br />Lot._.1..�..1,..�..... _.!... ._�t..._'_'......... Block No ...........................__...... <br />Addition................_.............._..............................................._--..........._..... <br />Remarks ................................ . .. ..........................-- <br />..... ......... .... . ..... <br />. ... <br />j' --- - <br />, ,,., <br />_ ......................._......... <br />........ ... ....._...._�....___.. ..: : ::::............................. .... <br />.................................... .....................................................................�--............. <br />:::::.............'.:.:.:..,:: .:........_......................._..................................... •--- ......------ <br />, . ... .......... <br />......:........_... ............_............................- -....... .. . . ... . . . . . - - <br />���� ����������� Suoerintendent <br />LABOIt AND MATER[AL USEID <br />No. <br />--- �................................................... _ Lcad Connection Complete <br />.......� Saddlc Comglete <br />........................... ................... . <br />.......................ft............................1 . . ......... ................................. _........................PiPe <br />. . . Scrvice Cod: <br />........................... ............. .. ..... <br />_____..... Se:vice Box <br />NoAours Laboc._ ..........................................Cost.............-...................................... <br />Cutin.........._...... .Favement ....................X..............._....... ................_......54. Ft. <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />,� <br />, <br />�� <br />....................X........................ ...............:........ <br />Total ........................54. Ft. <br />_= - --'----- <br />P, e:na rks ............................................................................................................. <br />_ .................___............................................................._.........................--...... ; <br />............................................ ........................................................................... / <br />Urder!?ecrived._.._...._..........__ ................_................................................_ � <br />�Var}: Cmnpleted....._...._ .................._....._..........._.....____..................... .. <br />Foreman <br />