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14�8�Z <br />M. D. IDPM1t- <br />CITY OF EVEF.ETT--Water Dept. <br />Application Date..........................18.6L <br />Install................ ............. .inch water service pipe <br />For............................................... _................................................................... <br />On........ =.,.............................. _...... ............ Street <br />Lot.............................. ................ ........ Block No ................................ <br />Addition..................................................................................._. <br />Rcm&rks....................................... ....... ....... ........ ................. ... ........ .... .... <br />............... ............ a�i'1'�l..lyt,�aG�C.trt..a........... _....................... _..__........... _... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size <br />...................................................... Lead Connection Complete <br />.................... ... ....................... ..... Saddle Complete <br />.......................ft...................................................................................................Pipe <br />.............. ............. ............. ........ .._. Service Cock <br />........................... ............ _... I......... Service Box <br />OrderReceived.. ............................................... ............................................. <br />WorkCompleted .............................. ............. _....... .................................... _. <br />Foreman <br />