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W. D. rORM 3 <br />CITY OF EVERETF,.Water Dept. <br />Application No._. <br />.�nsta�__.......ate...........mch <br />........... D.............1water service pipe <br />F <br />....... . --- <br />01; ............. <br />ZStreet <br />Lot ................. <br />................................ Bloc <br />Addition...... * ------ - * .... ............. <br />Remarks..................................... <br />..... ........ .................................................................... .......... <br />Superintendent <br />LABOR AND MATERIAL USED <br />1z, <br />Lead Connection Complete <br />................................................Sddle Complete <br />.......... .1.. <br />.............................. I Sery e Ceck <br />........................... _.......JService Box <br />No. Hours Labor ....... .......................... <br />.... . .....Cast......._............... .......... <br />C"t ill .. ......... ...... Pavement ....... ........... X ................ <br />........................ ........................ sq.. Ft.. <br />........... X ........................ ....... ................ <br />.................... X ........................ ..... . . ............... <br />................... ................. I ....... ======== 11 <br />Total .. ..................... Sq. Ft. <br />Rprnnrlm <br />Order Received.... ...................................... - ------ *,*,* <br />Work Completed ......................................................... ................ <br />................. I ..... <br />Foreman <br />