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V�'D. Form 3 1500 3-1-17 C. P. <br />CITY OF EVERETT==Water Dept. <br />Application No.Date..--. _ �`___--- 191 <br />_ nInstall_______/I -_inch water service pipe <br />For ------- <br />On <br />- --------- Street <br />Lot .--- - /&=1--------- Block a. g <br />Addition------------ --- ------------------------------------ <br />Remarks----- -- ------------------------------------------- <br />------ — ---- — ----------- -------------- ---------- — ------ <br />t LABOR AND MATERIAL USED <br />NO. — SIZE <br />Lead Connection Complete (110 <br />le Co Plete <br />_ ft. R-.�r--- --._-------'t------ --'-- --------Pipe <br />Service Cock <br />---, Service Box <br />- ________ ____________ _________________--____--___.___.__.-_____-_______._____-_--____- <br />No. Hours Labor ____ --------- _____Cost_?ffi _-._ 8__ ______________ ______ <br />Cuts in--------------- Pavement ------ --_X--- '---------- ------------ Sq. Ft. <br />--------- .a ----- .------- <br />.-X-------------- �. <br />'rotal ------------Sq. Ft. <br />Remarks__ ./ti. ?:t' / 9/3-- 7t_�----- <br />-'------- --------------------------------------- ---------------- ------ <br />Order Received ------------ ---- ---- --�-1 <br />Work Completed -------- CIA --- --------------' <br />