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CITY OF// EV//ERETT--Water Dept. <br /> Application No.... .F. Date.........::_... . ......................19L� <br /> Install.............._..............inch water service pipe <br /> For ......................................... <br /> ................ <br /> S �,......_................................................. Street <br /> On ..... 1.. ....... .._. .._..-..._._.....................................»__..... <br /> Lot.........................................._.............. Block No........_... ._.._.._.._.._._ <br /> Addition .......................................................................................................... <br /> Remarks ................................_........................._......»..»_....»»_._._.»._.... <br /> ................................................................................................__»_»»...... <br /> H................................................_............._.................................._.............. <br /> 3/.F...... .°P.............................._................................................._......._. ._.. <br /> ....................................................._...........Supe.....par-.................. <br /> 9•-.2.� rintendent <br /> --� LABOR AND MATERIAL USED <br /> No. Size <br /> ........... Lead Connection Complete <br /> .......».._.._......... <br /> .................. Saddle Complete <br /> ..St.». .........................._....._.................... <br /> ......Pipe <br /> .................................................... Service Cock <br /> _........................I....... Service Box <br /> _....... ..... ._ . <br /> _......_... _...... ........».___._....._............. <br /> ... ....._......_._.._.....__......_........... <br /> _..».. <br /> .............. <br /> No. Hours Labor.............................................Cost..._..___.._»-----....._................ <br /> Sq.Ft. <br /> Cut in..................Pavement...................X_.................. ..................... <br /> w <br /> X......._.._.._....... <br /> ....................Total _ <br /> . ...................................... <br /> .. .................... .... ......................................................... .................... <br /> ............................................................................................................................ <br /> • <br /> OrderReceived...... ...................................................................... <br /> Work Completed............. .. ..._.................... _ . . <br /> ..................................... Foremaan <br /> 07 <br />