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CITY OF EV'ERETT--Water Dept. <br />Application No ... �.��..Q•,�._ Dale..........:....-/ <br />Install ....... ..................... .inch water service pipe <br />For............ ........... "___....................................................... <br />On <br />... <br />. :�......._..".....!��_ ............................. ...... ........ ....... Street <br />Lot................... <br />.......... .......................... Block No........_.._.._. <br />Addition <br />Remarks <br />............................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ........................... _...... <br />...._. ....Cost..........._.._. <br />Cut in .................... Pavement ....... _..........X..._.._... .._. ........._............._. Ft. <br />....................x .........._..".._... .. <br />....... _...... I... x.................. _... .. <br />.................... X............. ........... _ .� <br />Total .....Sq. Ft, <br />.................. <br />Remarks.................................................................. <br />.......................................... <br />.......................................................................................................... <br />OrderReceived..........................................................................._. <br />WorkCompleted..................................................................................... <br />Foreman <br />