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� � \/ V . C ! ✓ <br /> 5 J PrieLc�M�A629555 _ ' <br /> W.�D.Form 3 ' <br /> CITY OF EVERETT--Water Dept. <br /> , <br /> �. J ..;' ,, _..: ..-� :/ ��J <br /> Application No..'.:.�f�_� Date...._'.�.....:........._r:::....::..........19..:.. a <br /> � /,: :r <br /> Install.....�i:.............._....mch water service pipe <br /> For ............��..^...�......�_:_,�'......../......_.... ............... .."Street <br /> ,' , ` .; ,--�__ <br /> ,.< � , �*-�o-^ .��:-:'.._ . . <br /> On ....------ - .. .................-.. ..._ � . ..........................--- <br /> ......... <br /> . . . . <br /> Lot..............- --...�_3..........._............ Block No.....��`./ ........---- <br /> Addition � ��•• <br /> .._................�.�_,..f...........`...-.,r....... ............_...--�---............. <br /> i.�- -'-''. <br /> Remarks .' %� ' ' ` <br /> .._.........- _'-;.........:-- - <br /> .... ---.... :-.. ..�,,,,,,.......----........_...... <br /> ................................ � ........................_.............................................................. <br /> / i ................................- .......................... <br /> _... .. ...:.......... --�..--.............---... ,� <br /> � � <br /> ... <br /> , .� <br /> ,:!..::.'....:1....�.r..:........................--........� �;<........:.::�.-�---........--�--............... <br /> y...� . , <br /> I ' � � -. �':Il.'i'l.;. <br /> , � <br /> ....:.................-.................................. .....�'f._��_:............_-----............._............-- <br /> L.-��� ,,.-//' Superintendent <br /> ,� � <br /> LASOR AND bIATERIAL USED <br /> No_ Sizc i <br /> —�----- <br /> ._................................................... Lead Connection Complele <br /> ...................................................... Saddle Complete <br /> .......................f t............................ ......._...................................................---.........Pipe <br /> .............._.............---..................... Service Cock � <br /> ...................................................... Servicc Box <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin..........._.......Pavem�nt....._.............X_............__........ .............._.._.._fq.Ft. <br /> � <br /> _/� � ,, �._.; ...................X_...._.................. ........................ „ <br /> , <br /> ........X...................... ........................ <br /> ., <br /> ,; n .�� r-, : , _..................X. ....._................. „ <br /> :: ' Total ........................Sq.Ft. <br /> --------�� �'-- <br /> Remarlcs...�.�..:.::..:................:.CL:..._..... <br /> ......._..................._......................:........................................ . --.............. <br /> ....... � ....................................................................................... ........................ <br /> Order Received............. ..,................::............................. ........ <br /> ,�.................... '!' , <br /> �'��ork Completed._;...........i..._...:_%..�r`.......:...............:.........._............ ..._ <br /> Foreman <br />