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W. D. IDNM J v ✓ <br />CITY OF EVEAETT--Water Dept. <br />1..................191 •Z <br />Application No...�.,.:'..Nl.r�.:i Date .......................... . <br />install ..............................inch water service pipe <br />................ <br />/ <br />ct.�t................. .................... <br />..... ..... <br />For d% ....»..... - <br />:- ! <br />— � ..._..t: �....:............»_....... Street <br />T _. ...... Block No ............ ........................ <br />Addition .................................... <br />................................................ <br />Remarko <br />..... <br />3,:. t... :...._...._..._ ._... <br />77 <br />.o.p....................................� <br />................... ... <br />.....................................................................................I....................... . <br />......... Superintendent <br />LANOR AND MATERIAL USED <br />No. Size I — <br />Lead Connection Complete <br />..................... <br />Saddle Complete <br />.. <br />.it............................1 .................................................Pipe <br />.......... <br />._.___............_. ........... ......_..... Service Cock <br />_._..... Service Box <br />No. Hours Labor........... ......... ........ Coat .......................... ............ <br />....... <br />Cut in ...... _Favenu: tit _ ....... X............... .. <br />..... ...... ..... Fl. <br />D <br />N <br />;{.... ........................ <br />Total ........................Sq. Ft, <br />................ <br />..................................................................................... <br />............. <br />............ <br />Or.ter Received ... ..... .._.......................................................................... <br />............................ <br />Work Completed ...... .._............ _ _................__............ Fare an <br />