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u. a: rnuno /=Y <br />OF EV//ERETT--Water Dept. <br />Application No .... L63- 1 Date .... .............. _.._...._....... <br />r i......inch water service pipe <br />For�................................._..: > <br />�� Install..._....._ ........... <br />,........ _fill «.:............._....... _..... <br />On ........... ...............3+_.. t_!u..................................... Street <br />Lot.................................. _.......... _...... Block' No........_.._.:.._..._....._.... <br />Addition ' I _ ............. ........ .......... <br />... <br />_ .... <br />................... ............................� <br />Remarks ........ <br />......................._.................................. <br />................ _.....:.... ....:...._.............................. ------------ <br />No. I Size <br />................_.._... . <br />Superintendent <br />L1ffiOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />................... ... _......_._......_........................ Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor ..............._......_......_.._........ Cost. .......... ....... _.._._..... ........ ........ <br />Cut in....................Pavement..._.._......_.. Y..___-..._...... ........... _........... Sq. Ft. <br />........... .. <br />.I.......X.._._.._.._....... .. <br />................... .X........... ............ �. <br />. Total .....................Sq. Ft. <br />Order Received ......... ..... _.......... <br />Work Completed..... -.... Q.'' <br />Foreman <br />