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$ J.'Yriebel4��'i�• '�� ri� s � / / � _ /_ JI �/ � <br /> W.D.Form 3 �l/(..•�// � <br /> CITY OF EVERETT--Water Dept. <br /> A ]foation No.....S..'3.3°1- <br /> PP .._ Da e�......7...................��..�.�.79✓� <br /> Ins 11...........�. ..d.! mch wat servicE pipe <br /> �j .. . ..........' <br /> For .................s-a'i... ..�V...E.-r.a..1......................................--��- ....... <br /> On ..................l 7..0.1....�@.. ..... - ...... ...........--- Street � <br /> Lot...................................................... ...... Block No.--.......---...----------...... <br /> Addition ................. ... . ............................ ................. . <br /> Remarks ...... . .. ..��...�r.�..✓..�4�.`,..,,l.....'".._�..-----�- <br /> ..................... .- �r..............................................._-----�--.._-- <br /> ................ . ..............................................................................~.. <br /> --..._4:....----^ <br /> ..........................�..............-�-�--......................---.. . ............ ... <br /> , I /}�"" ���� <br /> ----- -- •-------�- J- <br /> ...............'""".......,.:..""'......._._.........1........................................ . . Vu.r.: r�'J <br /> ' ' Superintendent <br /> ��£�� — <br /> LABOR AND RIATGRIAL USED <br /> No. I Size <br /> ---- ----- - — — <br /> ........._...........................................i Lead Connection Complete �. <br /> ........................._...........................� Saddle Complete <br /> .......................f t............................ ........................................................................Pipe <br /> ....................._............_...--........... gcrvicc Cock <br /> ...................................................... Service Box <br /> No. Hours Lab�r..............................................Cost.................................................... <br /> �t in..............._...Pavement....................X........................ ........................Sq.Ft. <br /> � � ._, t . ... <br /> - r f. 7 <br /> „ <br /> � .� .................... ........................ ........................ <br /> l <br /> � „ <br /> � .. ;� c� __iN , ....... ........................ ...................... <br /> _ . . _ ,< <br /> J .. ....................X........................ ....................... <br /> Total ..................... Sq.Ft. <br /> — —�----r---- —_ <br /> Remarks...�.......�:::... --........_...:...__........ ................._........- �-................ <br /> ................................................................... .........�---..... <br /> ...........................................................................•- .............. -................_ <br /> Order Received.. ............................................. ,.. ;........ <br /> � � . � -v, .� .,-._:..; , <br /> �Vork Completed..;.?.._::...`....L.....::...............''_�.�:.-...._:.:�:...:...:.:...f.._......... <br /> Fomman <br />