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w,n.Fo. <br />s.�° OV .. ko 4 <br />CITY OF �FVERETT- Water Dept. <br />o �- '%- r _-1971Y <br />Application NO� -- -- Date.. -//7 <br />Install " ---inch water service pipe <br />For .__.. /:11Id--- J . <br />0 <br />Block No.-- <br />Lot. ----------- <br />Addition ---------- <br />Remarks ----------- -- - ----•. <br />---- <br />--- <br />I------- --------------------------------- ----- <br />-----... <br />..' <br />-. <br />LABOR AND MATERIAL USED <br />-------- <br />---------- <br />.--- <br />__._.yam-/-- <br />..---�..--- <br />�y —' <br />Lead Connection Complete <br />Saddle Complete <br />----------- pipe <br />Service Cock <br />Se,v,ee Box <br />------------- <br />--------- <br />D•----- ------------------------------------------ <br />•--------- ----------------••--•- <br />6CCU _'f_r `f------------------------ <br />No. Hours Labor- ------ -------- ------. i <br />_______________S9• Ft. <br />Cut in. ----------- Pavement.__________ X............. <br />u <br />__.X-------------- <br />3 X______________ _______________ <br />>4 %' Total ........... ..—Sq. Ft. <br />I <br />JRemarks -------------- ------- -------------------------------- <br />--------------------------------------------------- ----------- <br />------•- - <br />Order Received --------------------- <br />"" -" <br />---- <br />Work Completed________________ <br />- <br />