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CITY OF //EV//ERETT--Water Dept. / <br /> Application No...�. ..t'..rT.(�.. Date......:.. �............................lg�. <br /> Install...............................inch water service pipe <br /> .f <br /> Street <br /> For ............................. .. <br /> On ... 1��_..»-.......t ..._............................................. ............ <br /> Lot................................._................_....... Block No.............._........�...__ <br /> Addition .......................................................................................................... <br /> Remarks .............................._........._.................................._.................... <br /> ....................................._.........._...............................................................»...._ <br /> ............................................_.............................................................._.......... <br /> ........................................................................................................_......_.._._... <br /> ..............»................................ ............................ <br /> .............................................. Superintendent <br /> LABOR AND MATERIAL LBED <br /> No. Size <br /> .................__............................... Lead Connection Complete <br /> »..».... ........................... Saddle Complete <br /> 1t._...................... .................................................................pipe <br /> _.........._...........................»..... Service Cock <br /> _......................_..... Service Boz <br /> .............J-11.. ................. ................... <br /> No. Hnurs Labor.................................._........cost........................._..................... <br /> Culin....................Pavement.............._.X.............._...... .........._.........Sq.Ft. <br /> .X....................... ..............»....... ,. <br /> Total .......................Sq.Ft. <br /> ........................................... <br /> ............................................................................................................................ <br /> ............................................................................................................-_»....... <br /> OrderReceived................... ................ .... ................. ........._... ....�> <br /> Work Completed.................................... ........ _._ man <br /> .................... . <br /> Foreman <br /> rr <br />