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w. c. ronM a � <br />� �� ��. <br />CITY OF EVEKETT--Water Dept. <br />: ��- <br />. , <br />A licatian No....`./.��.:' � 4" - `' ..........195/.. " <br />PP � ..�.. .... _ Date ............ ....................... <br />Tnstall........:!...i'•�-':.......inch water service pipe <br />For . ' _' <br />................�.'_. ......r........ .�T :�.........._..................._.. <br />... .. . . <br />..:, ..... ....... <br />� �� I- � - %�:.. �� ................................ Street <br />On ............. .........................._.... ..!-:.. <br />Lot ........................................... Block No..................................... <br />� .............. .. <br />^dilition ....................r :..........................j�'................................................. <br />. <br />Pemarks ................1....�..:!:4:.i:.5...:F.'.:.\_............................................. <br />_ ..............--..................................--.............r.t�...... �� .:.......{...................... <br />�._c S_t, <br />..........,:� ... .... ............... ... .. . . . .. . ... <br />............................... . .............. � <br />�� , 1 Su erintendent <br />�,� <br />LABOR AND MATEftIAL USED <br />No. <br />-- , <br />........................... . <br />.......................... :.ead Connection Complete <br />.................................._................ Saddlc Completc <br />��.�...ft._�:i'....:.''n,:�'';I }-:!:r.1............__.... <br />.................. <br />............ . <br />. . .......... .. Servicc Cock <br />........................... ..... ...... <br />.......................:........ .iervice Box <br />. ........ ...... <br />i <br />No. �Hours l..,bor ..............._.............................Cost...................._.............................. <br />Cutin...._............_FavenunG ...................X........._............. ........_.............S4.I't. <br />� ....................X........................ ........................ <br />�� <br />.. _.. _............X........_...___ ..... ........................ <br />„ <br />...............' ._.................. ......................_ �� <br />_ .{.. <br />Tota] ........................Sq. Ft. <br />--- -- <br />-- — <br />P,e�narks.._ ....., ...................................._................./ . <br />, �, ,, , .. ' : <br />, <br />' �....:.i...1::::'" ......................:.� ':i..�.:...:::......::'...:..�....._...::.�y�-... <br />............ ...._...... / .. <br />' <br />�f " � � <br />.o, f7,1. .0:,!�, <br />. ...n.l.aL: A....../.L..........i... . .� ....f�.......... <br />.......................................................� - <br />OrderReccieed._......._f.�.._...�� :..............................................- -............ <br />Cvnrl: Completed.._.......... ............................_.......... <br />_._..._ ....................... Forema <br />