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S.J..'rie6e4M�.4b2935 - ' <br />W. D. Form 3 <br />� L� �F�VERETT--Water Dept- <br />Application No......J`.��2.......... Date.....Ju�.Y....24�.i1.�.i�-7.........19....-- <br />n <br />Install......3...4.........._.....inch water ser•�ice pipe <br />or ....--------......--� .................. <br />..._ ................__......... .... .............................. <br />On ...............1.421�...AG6.dT.0I19..--.-.._.................._-- ...._......... Street <br />Lot........................ .................... ...... . Block No.................................---- <br />Addition...........................-�---..................___............._................................ <br />Remarks...... .............._................$eneWa-1.-...- .............------ -.......... <br />...................... <br />GoG.Pai <br />LABO7L ANID MATERIAL USED <br />Superintendent <br />�u. � Sizc ' ___ <br />... <br />..... . , ,,, ��� Lc ad Connection Complete <br />.r,. Sadclle Comp�ete <br />- ! .�; �-� � . �� .......... .......Pipe <br />... <br />> a......ft 3 . .... .. . <br />„ .. . Scrvicc Cock � � . <br />........_......_ ......................._. - <br />. _ ......................I Ecrt;cc Box <br />............................................ <br />Vo. Hours Labar ..............._.............................Cost.._......... <br />Cutin ....................Pavem^_nt..........._.......X........................ <br />.................... X........................ <br />..............----..._Sq. Fl. <br />........................ �� <br />........................ �� <br />X ........................ ........................ „ <br />.................-' To tal <br />.........................�.q. Ft. <br />------------ <br />Remarks............ ............................................................................................... <br />..... .................... ....... ................................................. .. <br />i;rder I2eceived ......................._..................._...._........_.......--............�......... <br />`:� nrk Completed..ak.'._�....L.`l._-....1-�7_......(�-���...�rl.t>.7.U..... <br />Pore�nan <br />; e�' �. '�.`"> s, ° z �.'":-` . , . . . �^.`?,. � . �„''':w.is*;.:. <br />