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/��6a <br />w. r. rowr. r " ` . . , . <br />CITY OF EVER.ETT--Water Depr. <br />�1 f�thetfbn�No...i._:...� ..�;i Date....��n� � �"? <br />,c, / ,' <br />........................ ..................19...... <br />(�1 � Install ......................,. '..inch water service pipe <br />� -! �1•, � . _ c - <�,'( , , <br />For � „, . , ` � <br />. ..___........_.< ....:.............C..........._ _...............:............................ _........... <br />(;' Li -� . ; <br />On......_.......<..._.:..:.!..-_.......:.L� ......................_............................. Stree: <br />Lot.............................................................. Block No.............._....................-- <br />^ddition .__...__ ................................................._............._........................... <br />Remnrlcs.......................................................................................................... <br />........ .... .. .... ..... ..................... .......................................................... <br />Superinteudent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.... _ _ ................... _............ ...... _. <br />Scrvice Cock <br />Scrvice Box <br />..... ... ........................................ <br />PiPe <br />J <br />No. Hours L,bor_............_.._ ..........................Cost................_.................................. <br />Cutin ................._Favement...................X........................ .......................Sq. Ft. <br />....................7�........................ �� <br />....... _ ............ .. <br />....................X........................ �� <br />........................ <br />.. .... ............ ........................ ......... .............. <br />„ <br />Total ..... ............__.Sq. Ft. <br />__—_ __.._ _ —_'__- '—__ <br />Remarks .................................................................................. .......................... <br />QrderHeccived .......................................................................... ................... <br />�Vork Compl:�ted.........._ .................................. ........_...._.�.':_.............. <br />Fareman <br />