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k -a. Fonn Y 1500 3-1-11 C. P. <br />CITY. OF EVEREiTT—Water Dept. <br />r <br />Application No. _�_�_�� Date ---- J ------791� <br />�t <br />Install- 3.----_-inc-h Water Seri e pipe <br />On__.... ----- ----- _ ----So I _. Street------�------ <br />Lot-------- <br />------------ Block NO -- ---------------- <br />Addition ---------------" <br />--- -------------------------------- <br />Remarks- --- --- <br />- <br />--------------------------- - __-- <br />--------------------------------------------------- <br />LABOR AND MATERIAL USED <br />------.•_-_ - <br />cad Connection Complete <br />-_._-_ _- Saddle Complete <br />_ft- ----`---- <br />- ----------------- -------------- .Pipe <br />-. -_—---.__. Service Cock <br />.. ._.-___. Service Rirt <br />— — k sn- _-�-'y -- -------------- <br />�------ -- `-------- ---Wl�ul�c ---- <br />----------------------- <br />�tirr ------•-•-- <br />No. Hours Labor ------ -v.-'/----------- cost .... <br />Cuts in -------------- .. Pnvement..----- ---% <br />............Sq. Ft. <br />._ --- a______________. <br />Total, ------------ Sq. Ft. <br />Remarks Uzt_rial_ lin N��� �` �......xa.� <br />---------------- -------------r ------------------------------------------ <br />-- ------ <br />-i <br />i - - �__-Foreman_-- <br />7 <br />