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Q Qyy, <br />nwrtao awi <br />W. D. roww ± <br />CITY OF EVE;RETT--Water Dept. <br />Application No ... <..J.G.. Date ..... <br />.1:....::....:........_. .........19...:. <br />Tnstall..._...:.u.. ...... inch water service pipe <br />/ [, <br />For.......�............ �.. � ............ <br />if/.l. - : " ` Street <br />..........................:....4-................._....... <br />Lot.. ................................................... _.._... Block No .............. — ..... ............ <br />Addition .r..... <br />F.emarksy ....... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />....... .... ...... ........................ Pipe <br />Service Cock <br />Service Box <br />No. HourS Lauor....................................... _..... ..ve..... -•"._.................................... <br />Cutin....................Pavement.................... X ........ ... ............ ....................Sq. Ft. <br />... . ...............X.._......_.._.__ .. <br />............... X............... _.. _... .. <br />..... ......._.._..... <br />Total ....... ... _........... Sq. Ft. <br />Remarks ......................... .......................... .................................. .o..... <br />..f <br />............................................................ ................... ................. .................. ..... <br />OrderReceived ........... ...................... ._......... ........................ ................. .......... <br />Work Completed ........... :...n'..(............ _.............. .._;_............... .....Forem....e.i ... an ..... <br />