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CITY UN EVERETT ..Water Dept. <br />Application No. oS S S Date..... <br />Install inch water service pipe <br />For.. ....... <br />=on .... .......t.... Street <br />t <br />Lot........... _................. ...t..... . Block No _ ......tf�)r".'._.c�,li <br />Addition._....................... ........ ............ ....... ...... .......... ___..... _._...................................... <br />i.�. <br />Remarks .....lyw)rn,-4„ai............... _................_._...................__..................... <br />............... <br />.... ..... ._........................................... _... ..._ ............ <br />......_.. <br />LABOR AND MATERIAL USED �;'. t• <br />-- -- ---- -- — �.I,F <br />SIZO <br />7 1s <br />.... .................. Lead Connection Complete <br />................. .... . Saddle e Co Cock <br />.......................Pipe I1: <br />...... Sacitiee Box. <br />................... _.................... .............................................................. _................ <br />�.......................... .................................. ....................................... _................................. I <br />No. Hours Labor..f.................................. Uoat....... ....................... .......... ............... <br />Cutin.........................Pavement.................... X................. ...... �y 1 <br />.................... <br />X.................... ... .... ............. " s <br />............. . ...... X........................ " <br />.................... X ....................... ............ <br />: IF. <br />Total _.............. sq. Ft. L�.yx�•_ <br />Material Slih " �l .$._._.....►.,' <br />Remarks...._ .............. _ _........ ,.... ..... _...... ,•. <br />_....._............_.t__.. .___........._.................. .... _.... ........___.._....__............. <br />........ ........_._._..._..__........... <br />Order Received <br />Work Complete <br />�..1. <br />Foran�n / <br />l t/ <br />