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W. O. lONM J /����. .. • <br />CITY OF EV�ERETT--Watet <br />G- yi,s�s <br />Dept. <br />Application ATo..�%35�..... Date ..............................._s�.-/:..19.�c.`�. <br />lnstall .............................. .inch water service pipe <br />Por................................ .......................................................................... .. . . . <br />�71 . ... <br />On .......l.n�.`l........... z....'�.`.`.'�-i1�c.�,.-......��:.`.?v. Street <br />� � <br />....................... <br />Lot.............................................................. Block o............---...................... <br />A�ldition .......................................................................................................... <br />Remarks .. . ....... <br />....._.......... �.�c...:r� .: ................................ - .............---............................ <br />................ ................................... .................................. .. <br />. �.... ....._� ........---� <br />............................................................................... , <br />.� <br />........r .: .. ...........�....`.J� <br />Suprrint qrloYit <br />LABOR A1�D iViATERIAL USED <br />Lead Coanection Complete <br />Saddle Comp]ete <br />Service Cock <br />Service Box <br />No. Aours Labor ..............................................Cost............ <br />Cut in ....................Pavement....................X................. <br />...... <br />...... .............X........................ <br />................... X........................ <br />........................Sq. Ft. <br />...................n........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />— -- --- - _ <br />Re m a rks ................................................................................. <br />Order Feceived.........-- .......................... <br />\Vo k Completed .................................. <br />......................... ............... <br />.... .. ................................ ! <br />Foreman <br />L� <br />