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S. D. Por 69 9 f <br />S. ]. Priefie 2 <br />CITY OF EVERET_T--Water Dept. <br />COPPER <br />Application No-------- --- Date.__.,__ <br />Install ------ Y/_' mch water service ripe <br />For _-__.. s.__ ,,% ; "s- - _-_.-----1-------------- <br />---- _ <br />On --------- ---_- Street <br />Lot._______i Y_ Block No ------ - <br />Addition ---------------- <br />---- - -----•----------- - <br />Remarks----- -------- --- -------------- <br />/---------- <br />...................................... <br />No. <br />............... ::----- <br />.... 14- --ft-- a ,----- <br />____ __________I________.__-__ <br />.... ------- <br />�a <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />--�¢�.v)a-o/✓---- ------------ -- Pipe <br />CService `ock <br />Service Box <br />--w---- -- - - ----- <br />No. Hours Labor ................ _... d Cost:_ :.ij...___________.__-___._____ <br />Cut in .......... __Pavement ............ X............... ... _----------- Sq. Ft. <br />------------ <br />X-------- _..... ............... <br />............ X______________ _. _ __ __ <br />__„ ,t" _ __X______________ <br />/ D Total --------------- Sq. Ft. <br />Remarks----------------------------------•--•---•------------- <br />------. ----•----•-•.................................. ....... <br />------ -------• ----------------------- <br />Order Received --------------------------------- •-----••------ <br />Work Completed --------------_ - ----------•----•---- <br />Pottman <br />1 <br />