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` W. D,Form 3 1000 I I.b.29 ��' �'=; <br />W�tex Dept. <br />CITY OF EVERETT„-,t II : � <br />ApplicationNo.....�_�.-I �... ,/ _......�..d�_._ _ 192.....4�_.. <br />� Ipstall _.�Y'.�� _ inc.h warer service pipe <br />For _ �'?" . <br />�f-'✓ I 5 <br />On � ....... .. .. . . ... .�j <br />Lot................................_...................__. Block No...__ ...... . D _. <br />Addirian................................................ ............... .........__....__...... _ <br />Remarks..................................................._ ..............__.., .......... <br />....... . ..... S[rr.et <br />.._ ........ . _ _. _ _... <br />_ _.. ......... <br />_� .�:... � . <br />������.. �� <br />LABOR AND MATERiAL USED <br />---�------- ----�------._ ...--- <br />- --- — <br />No. ,� Size . <br />—�-� — ---- —__.------ ------- <br />.........., .............��...._7`..-.%�L7�Leed ConnectSon Complete <br />'--" ' --� I Sa�dle ComPlete <br />........................... ........................ <br />, d - <br />.........al...........ft. .....::-:.......... _. ....'�i-..'.:GS:�:%.- ................................Pive <br />.............!............. ./.. �..'.'!y-..�..... 5ervice Cock <br />......... � ........ ..... �.,.,..n.�.k.i'.:.:. .. Service Box <br />No. Houra I.ebor............�.... <br />Cut in ...............`._:.......Pnveme�. <br />................. - ---............................................................ <br />t....................X........................ ....................Sn. Ft. <br />....................X........................ � ��� <br />.................. . <br />....................X........................ .................... �� <br />....................R ....................... ,� <br />........ ........... <br />Total ....................Sq. Ft. <br />- — — — - _ —_--=_' <br />Rem�rks ...h1 � I Sli� i'� � �1�.r.� �' $ � . <br />Q'� �, r � f ��/z.��<1.z<- <br />.._. �. . t r .A_J e �iL .� �c n t <br />.. ... <br />........_..._.._..... __ .. _r . .. .........._�.__................. <br />_.. <br />Order Received . . _ _ ____. _ _ ^ � �.� <br />_ � .. <br />Work Compleced _(1:+� � L:�%.vC�-i�" <br />Fattmm ��' <br />� <br />