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�' <br />w. o. �O�w n / �G4 d� � t <br />J-- '/�/ <br />. CITY OF EV�'R�ETT--Water Dept. <br />Application No....Ll:..,Sl�l Date........'.'........� ..........................18..�:.`� <br />Install ...............................inch water service pipe <br />I� or .. .....................�::........................................................................................ <br />On ....:�.�'..1...: ���:..:�`J ...................... Street <br />. . .. ................ ............... .. <br />Lot............................................................. Block No..............----.................. <br />Addition........................................................................................................ <br />Remarks.......................................................................................................... <br />............................. .. ......... .................... ............................................... ........ <br />........................ ............................................................................................. <br />...... .............................. ................................................................................ <br />Superintendent <br />� LABOR AND MATERIAL 'USED � <br />Na. ' She <br />---- — -- -- -- <br />,__ .............................................. Lead Connection Compiete <br />...................................................... Saddle Complete <br />.......................it............................ ........ ....._...................... _....._._.....................PiPe <br />.............................................. ....... Service Cock <br />...................................................... Sert•ice IIox <br />........... ............... ........................... ................ .............................................................................................. <br />................................................... .................................................................................... ........................ <br />No. Hours L�bor ..............................................Cost.................................................... <br />C�l in ....................Pavcmrnt....................X........................ ........................S9.Ft. <br />................__X..._................... �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />...................X....................... �� <br />....... .. ............ <br />���� <br />Total ... ............... �q. Ft. <br />Remarks....................................................... ..................................................... <br />_ _ ............................. ............................................_............................ <br />......................................................................................................................... <br />OrderReceieed ....................__.............._..................__............................... <br />\Vork. Completed ................._ ............_._.... .__....._......................._.. <br />Forenan <br />