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CITY OF EVEkETT—Water Dept. <br /> Application Nol..L.d...-;V Date................................................ <br /> Install......I....................... .inch water service pipe <br /> For .......... . .... ..... ...... . ........I......._.: _...................................... <br /> . <br /> On .......... ................ ..........i....... ..........t....G:.: Street <br /> Lot............................................................. Block No............_.._................... <br /> Addition .......................................................................................................... <br /> Remarks .........................................., - <br /> ... <br /> .......... <br /> .Z - *"****'*... <br /> ......................................... f.. ................... <br /> ...... . .... . ... ................................................................................................ <br /> ............................................................................................. <br /> . . .. ............................... .................................................................. <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ......................................................- Lead Connection Complete <br /> ....................... .......................... Saddle Complete <br /> ......................St........._................ ..................................................................Pipe <br /> ........................ ........................ Service Cock <br /> ..................... .........I................ Service Box <br /> ..........................................I......... ....I.......I................................................................................. <br /> .................................................... .................I............................................................................ <br /> ................................................. ........................................................................................... <br /> .................... .. ...... ..............I...........W.......................................................................... <br /> No. Hours Labor..........................................W...Cost..........W..............W.......................... <br /> Cutin.. .. ..Pavement..................X......._............... .......................Sq.Ft. <br /> ....................X.........W,W............ ....................... <br /> X.......I......... ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...............__............ ....... ...... . <br /> .. .....4.............W..W...........W W....I........ ......I.......W....... ....... ............. <br /> ...........................W__... .................. . ­................... ...... ...... W.. ...4............. <br /> OrderReceived __........................... .. .................. .... ..... ..................... <br /> Work Completed ...........w. ....... -.... ... . .. .. . . . <br /> Foreman <br />