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w. o. ro�w a O���v � <br />CITY OF EV�RETT--��'ater�Dept. <br />/G '• '�, <br />Application No ........:......:_.... Date........ i <br />.............................19.1.,/ <br />Install .......................... .ich water service pipe <br />For...................._ . <br />_ ........... . ......................... _ _............. ............................... <br />� , <br />On .......�/./ .._�, 1� <br />.........^ .................................... Street <br />....... ................. <br />Lot........................ ........................... ...... Block No.......................... <br />A�idition ............. ........... <br />........ .............. . . <br />. ...... ......................... <br />............................ <br />emark . ............. <br />................................................................................ <br />.. . <br />:. , � <br />. . ............................... . .... ............................................................... <br />, <br />....:.:L .....:............. . <br />....................... <br />.................................................................... <br />..................................... ............................................. <br />............._............................................................. <br />Su�+erintendrnt <br />LABOR AND MATERIA� E L=�a��� �� T <br />. _— <br />...` ........................-.....................I ..ead Cnnnection Complzte <br />._ ..................... ...........................� Snddle Complete <br />..... ..............Tt........................_..I <br />. . _ .............................._...................................Pipe <br />......................_............................ Fervicc Cock <br />........................... .................. Service Box <br />. ...... .. ........._........._...... <br />� .................. <br />............._... <br />No. 1[uura L,bor._ .........................................Coet......_.......... <br />Cut in......__._.....Pavemenl ..................._...... <br />.. .................X........................ ._ ....................Sq. Ft. <br />....................X........................ .� <br />........................ <br />.................... • <br />........................ ....................... �� <br />....................X....................... ,. <br />-�� — Total <br />' - - ---- - �t —`��.@�zs, ' .Sq. Ft. <br />_'-- ...................... <br />Remarks ....................... __— - <br />...... ................... ...._.................................. .._ <br />....... .. ............................ .......... ............... ................ <br />... . . . <br />. ... .. .... ....................................................... <br />..................... .... <br />Order Recei��ed ......................................... .. <br />_ . _ .. .......... ............. ............. ... I <br />`.Vm� Campleted ......................__....._.. <br />_.... _ <br />_ _ . _ ... . ... .. <br />Foreman <br />