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& J. PAJ3 GO; 17 �` <br />w. O. ISIRM ( % / <br />CITY OF EVER ETT,-Water Dept. <br />Application No :C:-,-I......YDEC 6 laal <br />..:.. Date........__...................................19...... <br />r "1• stall ..... ................._....inch water service pipe <br />For ......./.' ..../....... ; . <br />t:...l... treet <br />Lot..>.......................................................... Block No ............................ _...... <br />.Addition ........................ - <br />Remarks <br />j Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ................... _...... _.._...»...... Cost. .._.... <br />.._..»._._.._..».._.... <br />Cut in....................Pavement................... X ...................... » ......Sq. Ft. <br />.................... ............. ....... ..................... <br />.................... X....... ......... <br />......................... <br />........................ .. <br />Total ........................Sq. Ft. <br />........................................................... <br />... .......................................................... .... ......... ..................................... __......... <br />......._......_......»................_........_....._,_._.... <br />OrderReceived .................................................... ......... <br />WorkCompleted......................................................... _. <br />.......................... <br />...... <br />Foreman <br />