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w-o.roar.�����l� , 1/ 4.`�. <br />CITY OF E VERETT--Water Dept. <br />Application No.�.�`��C.,.,. Date......,'':�.-.: � � / <br />� - . <br />..............................19:...: "' <br />Install..: j:,:;.' .................. .inch water service pipe <br />For............. ......... .......... ....._.. <br />. ..,.......�........� .............. Street <br />........ .. ...... <br />/ .... <br />�Jl ...............��N�� r.,_. CC-(�nc'�,� � )(..... <br />......""' �' .... .................... .. ............. <br />Lot.................... ........................................ Block No.....---............................ <br />Arldition.._� �� ..............._............-....................................................... <br />, <br />I?emarks .._ �.�: �Z.c..s.s::. �.4...� ................................................................ <br />� <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />S�ddle Compiete <br />......................... <br />Service Cock <br />Ser-rice Box <br />No. Hours Labor .............................. <br />Cut in ....................Pavement.......... <br />........Pipc <br />........................Sq. Ft. <br />........................ �� <br />........................ .� <br />_.__._ .................... ...............__..... �� <br />__ Total ................... ....Sq. Ft. <br />— — ------= <br />---_ <br />Re m a r ks ........................................................................................... ............... <br />....................................................................... ......... <br />Order Receiced ..................................... <br />- ....... <br />. ,._. � �_�_'�i,.._�..... <br />\Vork Completed...._.......�'�._`...... <br />Foreman <br />I <br />/ <br />