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�3�/ ��,� <br />5. J PrieSe�M 7Ao1 ' -' <br />N. D. Form 3 <br />CITX OF EVERETT--Water Dept. <br />Applicati:m No......:_:...:.. �-� . Date .......................:.......:�... � • -...i9.:.�.' <br />Install...... :.....'..: �.. �.........inch water service pipe <br />� _ : . , . <br />ror .... -_ ..... ............................ ----.:.:..:...�.:..- ............ <br />_. . � <br />On � . _ <br />T.nt -- . .............. ....................... Block No...... <br />Addition............:..:....................................................... <br />Remarks .......:_'�:..:.'-' ....:.:__.:.:...:�...�-::....._:.._...:... <br />............. ...................................................................... <br />'""'""'...""'"" .. ............. ... .r..:...._............... . .............. <br />�J � .�........-- <br />.......................:.....�.. i)..................;..,.................. <br />Jr, � ., �;'11 <br />� LABOR A.�'D MATERIAL USED <br />— / � <br />_� <br />No �ize <br />.._......_., �i Lcad Connection Complete <br />._ .......................�.............. i Saddle Campletc <br />Service Cock <br />Service Box <br />No. Fiours Labor ...................... <br />Cut in._ ..............._Pavetnent... <br />Street <br />Superintendent <br />......................... P i p e <br />........................Sq. Ft. <br />........................ .� <br />.. ................... �, <br />.................. .Total........... <br />. ....................Sq. Ft. <br />------ � - -----�— <br />Rvmarks.:.....::...:..............................................•- ............................_................. <br />OrderReceived .................................................................c:.......................... <br />� <br />��'ork Com leted ....:......:.... .� �,, �_,_, • , : <br />......... .........:........... ............... <br />Foreman <br />t"-- �.... <br />