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J.Prie6c 4M 7.�I� � � � � <br /> W. U.Form 3 <br /> � � TY OF EVERETT- �Water Dept. <br /> 1„ �- <br /> , . 'r' r . .. " .;'-:Ti <br /> Application No....::...-:'e.=.-a-'.. Date................................................19...... <br /> Install................................inch water service pipe <br /> For � ' � <br /> . ............................. ........ <br /> On ...............................�---.......................................� ..................._..... Street <br /> Lot.................. .................� •- ......... ..... Black No...................---............--- <br /> Addition .......................................... ............................................................ <br /> Remarks ..................................................... <br /> .................__.. ----................................ -.............................................---.... <br /> ..... � ..............................................................................:......:.......................... <br /> .................................................................................................. .................... <br /> Superintendent <br /> LAROIL AND bIATIiRYo1L USED <br /> _ No_ � Size i <br /> i — <br /> ......_............... ........................I Lcad Connection Complcte <br /> ....... <br /> Ea3dlc Complete <br /> .......................f t:........................... ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Servicc Bo�: <br /> No. I�iours L��bor..............................................Cost.................................................... <br /> Cutin......._...........Pavement....................X..........._........... ......._...............Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> � X........................ �� <br /> /.) /� ......_............ _...................... <br /> � � ....................X........................ �� <br /> _�..—�..�---- Total . .......... .....Sq.Ft. <br /> Remarks......;.,- _................_.._I-..................................................---..........-- <br /> , <br /> . . <br /> . �. ;, .. � , <br /> ; ,.. , , ; , <br /> .......... . .... .. <br /> _. ......... ............... ..................................... -............--.... <br /> ........... <br /> , Z <br /> _. ..................:`...:...:...........`--t:.:'..�_:........--........ � <br /> ............................ �---- -- <br /> Orde: Received..._........................................._..............___........................... <br /> , � : : <br /> � , r ,.:�.: , � .-. �'�� <br /> 1�or]c Comnleted .. _:---...... . "' <br /> ��............�...:..........:._:._�:.....,.......:._�...... <br /> Foreman <br />