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.S'9�o .; <br />w. o. rn� <br />� �'� CITY OF EVE�ETT--Water Dept. <br />Appllcation No..._..':.:�L•... Date..........,,..;.....r..:,...,� :...............19/..... % <br />Instali_ ...... ��.....r..... .1nch water service plpe <br />, ./ , , <br />FJC ....._....:�..i..L:.C.d.�.Jl...........�,i...::..G.c...r...._d ..:...................................... <br />/ <br />On..........f/./....:.%.y.. � ................................................ ............. Street <br />C.ot ................... � ............................. Block No.�.:�..��.::s:..c.:.:.�_..:.'_::. . <br />.... ....... <br />Adilition........................................................................................................ <br />Remarks....:x:...�.�.�.:.::.......<...�_�r.+.:.:....� ......:............................................... <br />; <br />. <br />...............: .i..ff..- �e:�......:...,:c:'..:..�(..�.e.:..a.....r................................................ <br />_ ..__ ..... .. ... ... �........:�..................................................................................... <br />.... ............... <br />�� ! ' 1.�.:...:...:.�.......... <br />� .... .....................................:.. ........... <br />J Superint�ndent <br />� <br />- -�-�- -- <br />� <br />��� (" LA80R AND MATF.RIAL USED <br />No._ U�LIL-9�ize � .__ . ._ . <br />. , . . ,1 ... �._. � Lead Connection Complele <br />I Snddle Complete <br />.._._........-:�c'..fl....... �.....,:..�.......,. .,_....<,.,'...._..:�� .............................................Pipe <br />...............�......i......:t..�.:.......... Scrvicc Codc <br />. . __._.......! . .......................... Service Boa <br />........... ......................... � . <br />No. }tow�s L�bor........_.__ ............._..............Cost........ <br />Culin.._ ................Pavemrnl..................X.................... <br />� / � ....................X..................... <br />�. . . . . . .,.' ..___....._....X ..................... <br />....................X..................... <br />Total <br />Sq. Ft. <br />Sq. Ft. <br />----' -------- — —� <br />� • , <br />Remarks. ....G l� � � ' .._ <br />......... ...................:............. ........ .............. .............. <br />� <br />, <br />, . <br />_..... . . ..a......... c.�......._..._.....:.._ ...:...................................................... <br />.........................�C......... R:l:f....l...�............................................................� <br />OrderReceiced__ ................................................................................. ... <br />,. �,. , ' <br />\4brk ComplcMd_J_.....:. ....:..::....'...._... .......' ... ...... ............... ..... .. <br />Foremnn <br />