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J. M'Di4M 7 '4 <br />W. D. Form 3 <br />CITY OF EVERETT--Water Dept. <br />Application No ... �� <br />at ....... ................. <br />Install <br />inch w�service pipe <br />For.............. .. ............................ <br />On............... ..... q-1 ...................... Street <br />Lot.............................................................. Block No..---............................... <br />Addition. ................................................. ;j..................................................... <br />Remarks ...... . .. ......... - . . .... ........ . <br />\ ~A% X LABOR AND MATERM USED <br />No. <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .............................................. cost ........................... . ....................... <br />Cutin .................... Pavcmc.nt .................... X ........................ ........................ Sq. Ft. <br />.............. X ........................ ........................ <br />................ X ........................ ........................ <br />Total ........................ Sq. Ft. <br />........................ ; ..... .......... ...... .... ............. <br />Order Received ............./....... ..�............. tl <br />A.-- <br />-.-';; ......i <br />%Jork Com-1eted./1._..w..1. .. . .......... ............. <br />'.r Foreman tl <br />