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M'. o. FORM a ����/•`�• <br /> CITY OF EVEKETT--Water Dept. <br /> Application No../. (A, Date.........: ...—./........................ <br /> Install...............................inch water service pipe <br /> For .................................................._.._.._....................................................... <br /> On .......A7�� ............. .s ..........................................._.._....... Street <br /> Lot....................................................._....... Block No............................._ <br /> Addition ........................................................................................._.._....._._. <br /> Remarks .................p.........._......{........_......_}.f..._....../_../......._.._.. ...__...... <br /> JPP /4J••/••l/LC///CH <br /> .......:........ <br /> ..............................................._.. <br /> ................................ ................_........_......_................................_ .._.__.._... <br /> r1............. ................................................................I...........I. ......... <br /> Superink.'dent <br /> - B4-AND MATERIAL USED <br /> No. Sire <br /> ............_........_.......................... Lead Connection Complete <br /> ............................................ Saddle Complete <br /> .......................ft......._.............. .................I...I......................._........._..........Pipe <br /> .............._..............................I...... Service Cock <br /> .........._.._.............................._..... Service Box <br /> No. Honra Labor......................._...................Coet..._......_.._.._.._........................ <br /> Culin....................Pavement...................X......._......_....... .....................Sq.Ft. <br /> ...................X.................... <br /> .............X........_.............. . <br /> ...................X........................ <br /> ........................ <br /> Total ........................Sq.Fl. <br /> Remarks............................................................................................................. <br /> ............................................................................................................................. <br /> ......................................................................................................._..._».._... <br /> OrderReceived.................................................................................... ....... <br /> \York Completed............................................................................ ............. <br /> Foreman <br /> rr <br />