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/�✓ �✓ T r �y <br />. : <br />W. O. I�I�M ] � � � , !/ <br />CITY OF E�fERETT--Water. Dept. <br />Application No.��:: �: '�'y... Date.......: �..::. i ............................19.(, / <br />Install .............................. .inch water :,ervice pipe <br />For.................................................�•--/-............................................................. <br />� �'f - '�' '�.. '-�1 � <br />On......... �' .......................:....... .!1.... ..............................._--.............. Strea , <br />r .,+ . Block No ................................. ... <br />Adc;ition ............................ <br />Remarks............................ <br />......................... <br />............................ <br />...............................------ Superintendent <br />LdBOR AND MATERIAL IISED <br />No. � Size <br />:.ead Connec?ion Complete <br />Saddle Complete <br />..... - -- ...................................... _. <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................s.os�................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ........................ <br />�, <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />„ <br />Tota1 ......................Sq. Ft. <br />— -- <br />Reinarks ................................................................................................ .......... <br />.................. <br />.................... - - <br />OrderReceived ............................................................................................... <br />\Vork Completed .................................................................._....................... I <br />Foreman <br />