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w. o. ro�w a , I //O � i�" �.— 2�. `f"�J"' W <br />CITY OF E�'ERETT..Water Dept. <br />Application No.._�7./ /..0.. Date.......:3.'.(....: � ` <br />........ l .............19...... <br />lnstall ...............................inch water service pipe <br />For..................................).................................../.............................................. <br />Sc�.�'.........S1..s.t:.:z.t.�s.t.:�..�:.c._!r2 ::............. <br />On ............... ............. Street <br />Lot.............................................................. Block No...................................-- <br />A�ldition .............................................................................. <br />..................... <br />Remarks................................................................................ . <br />....................... <br />LABQR AND MATERiAL IISEII� ' <br />:.cad Connection Complete <br />Scddle Complete <br />Servicc C� •k <br />Scrvice Boz <br />No. Aours Labor ........................... <br />Cut in ....................Pavement......... <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />..__ ..... ........................ �� <br />Tolal ........................Sq. Ft. <br />-------------- <br />D_.� _i <br />OrderHeceiced .................._........................_................... <br />\Vork Completed .............................................................. <br />