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W. D. Yn ® 11 <br />CITYaf 6VERETT--Water Dept. <br />Application No ------------ . Date. __ ...... 19-J <br />Install. . _ -_inch water service pipe <br />For_._..lf�.-✓/_._1�L; ��-�= Z--------------- <br />On. r -! �` _ // 1 :. _(.!ice- -- Street <br />Lot ......... ....... S --•--- Block No... 1 3------•-- <br />Addition . ............... ............•---•----•-- <br />Remarks C-�;cLC;� r �_ ........... <br />-----------•-----•-------••-•-----•---------•---•--•-- ....... <br />I I <br />-------------------------r --'-�-------------------------- <br />I...-----'---- --------- <br />LABOR AND MATERIALLUSED <br />No. <br />Size <br />............... <br />............... <br />Lead Connection Complete <br />............... <br />............... <br />Saddle Complete <br />a ---- <br />--�-•�_ y -.z-e- ~...... ---------- pip. <br />............... <br />............... <br />Service oc <br />--------------- <br />------"------- <br />Service Box <br />No. Hours Labor_ ........... ... Cost �? k� <br />Cut in ------------ Pavement ------------ X-------------- ---------------Sq. Ft. <br />I_.__.X_____--------- ___________ _-_ •• <br />y....__...._X _--- _........ ___ <br />3 Total --------------- Sq. Ft. <br />Remarks----------------------------------------------------- / <br />------------------ ---------------------------------------- <br />Order Received <br />Work Completed------------------------------- ------- <br />