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r <br />� w..�D. F�rm 3 IUO 11.10.t4 <br />CITY OF EVERETT-••Water Dep� <br />. �. � <br />g o b'� " ...._.�_C _ _ i9z..�.... <br />Application No. .....7........._....._ ' pare.. ._......_ <br />� �� <br />Install ?' inch warer service pipe <br />For .._ `� _. ........ _ <br />� <br />pa ..... ...... 3 � � � .. —} _... _. '.. street <br />.. <br />Loc .................................................... ...... Block No.-Z�� Q�. <br />Addirion....................._....................._ .............. ..............................__............._._._. ._........ <br />Remar ......................................... <br />............ ....... ........ ........................ .. <br />.......___.._._ . <br />..._.._ ..................._. _ _ <br />__ _ <br />_....... .__ _.__.._ �_� <br />.. . .._�r ... . s�os�i � . _.. <br />� . � ... __ ----:_ <br />—_-- -------__-�_ <br />LABOR AND h1ATERIAL USED _ _ _ _ _ . . __ <br />-- No. _-� Size —� __ _- - ---� � --- ..-_ .-�----�--- � ---- <br />,......_.�,_,.....,,.. �I. y..:_�+fYi.?:f1} Lead Conne�:tion Complete <br />..... <br />. <br />............�...........�..._�.X..&....._. Snddle �Copm�Plete <br />�.......ft.�......y. �.._..... .....::�.Ffi!:t :..:.............................PiPe <br />............ . i y .. <br />........._l ............._ .._.3......,./.. .. s�r�;�e co�k <br />I�-......r.�....._. Scrvice Box { , <br />.........../ ............... .... � <br />....... _.._........._..... <br />. .............. <br />...... . � ...... ... ............ . ............. <br />No. Hours I.aLor..........._6........:. <br />Cut in......:c.......__.....Pnvement.. <br />...X <br />..................... ... _ _ _.. <br />....................Sq. Ft. <br />.................... .� <br />Total ....................Sq. Ft. <br />-- <br />__ — / <br />— — <br />Remarks ��iater�al Sliy v�.`� ��� B r.. <br />��� � .��.r �.�C __ . <br />__ .� <br />Ordc� Received . . ' <br />�y� � c/ <br />\S�or,c Completed `-<''� -�>' < < < <br />Farem�n .�a. <br />� q u�tF„'S�\5't '�{ � <br />