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CI'C� � �� O <br />W. D. FORM <br />CITY OF EVERETT--Water Dept. <br />Application IP ........ ........_ Dade..- _ ......-- ............... 19. <br />lnst �1., inch water service pipe <br />For ..... ........ ........ ................... <br />.................... <br />::.: ......................... -- <br />On ....... - Z.,..4...... ..... P .�.-./...--...q. Street <br />r ,,. T .�� % -----j.... Block No.-,.:..._.....Z.,F---.-....---- <br />P <br />'MAY <br />Addition <br />LABOR AND MATERIAL USED <br />,,,•................... Lead Connection Complete <br />....................................i Saddle, Complete <br />3/t .............I Service Cock <br />.............. ....I......... Service Box <br />No. Hours Labor.............................................. �u,l.............................. ...............Ft... <br />Cut in .................... Pavement................... X........... .......... ........................Sq. _ <br />-- .. <br />X......... ........... ......._.._.......... <br />x ........................ <br />q .. <br />................. <br />....................Total <br />Remarks- �l'n..�.- �...�_.>...:...................................... <br />....................................... <br />J.? <br />... .................................... ..... .............. <br />c:...:.. _._...._...s.. _....._....--...... <br />Orderreceived ................................................ . ....--... _ ..... _ -.. ................... 1 <br />\4orA: Completed... ................ Foreman <br />