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1. <br /> /��� /� � ���/ � <br /> ■ <br /> w. o. ro� a �' vv <br /> CITY OF EV�RETT--Water Dept. <br /> Application No..L...j..�1:_L.by Date........`.l.�.._�............................19�'.;"� <br /> -� 7nsta1l..�.........................inch water service pipe <br /> � , , <br /> For .i.�t'.:�...5.�........,X1.�!;:+.7:�`..:...... <br /> . . <br /> , . .. � _ <br /> ....... ... ... .... .. <br /> On .........G.�::L..,........li..:a..<.�s.r.:�.:. �z.r:............................ Street <br /> i/ <br /> L.ot............................................................. Block No....... ...._........................ <br /> Addition .......................................................................................................... <br /> Remarks .........................--------.................. ... . <br /> . _......................................... <br /> . , �' � <br /> ............................................ ...�r..n�x. ....�-.i?.:./........................................ <br /> ............................."'"............................................................................""""'"""""' <br /> ....................................................."'"....................._....................................'"_...... <br /> ..............................................................................................................""""""'..... <br /> Supe-lntendent <br /> LABOR AND MA7ERIAL USED <br /> No. Size � <br /> ---- — -- <br /> ......................................... I Lead C„nnection Complete <br /> . ............ <br /> . S.adle Complr,te <br /> .................................................... <br /> .......................tt............................ ........................................................................Pipe <br /> ......_..............................__...._. .... Service Cock <br /> ..................................................... Service Box <br /> .'�""""""'��I—.....�........_.._.... ................�..................._.._............................._............._......._...... <br /> No. Haurs Labor._.._................................._....Cost.................................................... <br /> Cutin......._...........Pavemm�t......._..........X........................ .........._............Sq.Ft. <br /> ...................X........................ �� <br /> ......._............... �� <br /> ......�........_..X........................ .........._........... <br /> ....................X.._.................... �� <br /> ....................... <br /> Tot21 ... ....... Sq.Fl. <br /> -- ____.___—____ _-- _— <br /> 7.e m a rks................................................ ..... ..................................................... <br /> ......._.. ...._........................................___......................._..................._............. <br /> .............................................................................................................................. <br /> OrderRecei��ed............................................................................................... / <br /> \Vork Comp)cted ..................................._..........._........_................__ ...._ .. <br /> Foreman <br />