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W r row" 4IFTY <br />��� W. C (DRY <br />OF EV ERETT--Water Dept. <br />Application No .................. :.. Date_::. .. <br />Install...3/ll...:.........inch water service pipe <br />For ............ '...6/..._..... .. cr.:.) . _:,_::_:. ._...,...... On .......... t. mot.%�...... K,I-S: G . i ....::....L �......... Street <br />.. . <br />-%Block No ........ ... _------------------ _ <br />Addition ............ c............. <br />Remarks ............................. <br />LABOR AND MATERIAL <br />Lead Connection Complete �Q Del <br />Saddle Complete <br />d e r <br />.. <br />,A_........._• <br />t � ape <br />Service Cock <br />Service Box <br />............ __......... r <br />No. Hours <br />Labor ........................... _................. Cost ........................... ........ ... <br />Cutir.Pmcnt.............. X....... _....... ....... .............._.._... <br />5 <br />9......Ft. <br />3.......X.................... ................... <br />Ect <br />C'p R <br />...................X............I.._....... .. <br />Total ........................Sq. Ft. <br />Order Received ...................... ......... _......................... . ............... <br />.........::Genz�:c ......... / <br />\cork Completed ...'l..J� �..Z•••--••-••••• -f Foreman <br />