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W. D. Form 3 1500 3-1-P C. P. <br />CITY OF EVERETT—Water Dept. <br />Application No. 76_?_75� .(_�__ Date____13_____-_I91Z2 <br />Install __2k-___inch water service pipe <br />For---� ,_K - '-4d T <br />5. <br />On -- -------------- ---------.Street <br />Lot_c--------------- Blec No_--__-_ - - <br />Additio°----------- ---- - ------------- --- ----------- <br />Remarks ----- ---- --- ------- -- ----------------- --- <br />------------------------------------------ ------------------- <br />----------------------- --------------7-�------�------- ----. (' <br />Supe tendentt t <br />LABOR AND MATERIAL USED' <br />No. s1 <br />L._____ __. �_!ZV_ Lead Connection Complete <br />Snd+�1�{je Complete <br />-tt. ---' - --4_4k'---------------------- Pipe <br />------- ______ .___-%. service Cock <br />------- ______ ---- Service Box <br />----------------------------- <br />---------- ---- <br />____ ____ __---- ______-__.___.___-_______._______ ------ <br />No. Hours Labor ._-_.--_ __..__._Cost___-____ �_!_�___,-'---' <br />Cuts in --------- ._.__-Pavement___-_..._-X-------------- --------._..Sq. FL <br />_-_.-..._._X-------------- •• . <br />•� __________ <br />_ -------------- _ •• <br />Total. ______-___Sq•Ft. <br />Remarks--------------------------------------------------- <br />----------------------------------------- ---------- --------------- <br />-Order Received ____________ --- <br />____ <br />Work Completed ___________________ .,-(___ <br />. <br />