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w W. D. Form ] 1500 3-147 0. P. <br />CITY OF EVERETT* =Water Dept. <br />Application No.7Q / Date V/-�Q__,191 <br />Install ------ inch water service pipe <br />For -- �0 . <br />— F—Lt------- ----- <br />On---------� 8._ i <br />--- Street <br />Lot---v2_Z------------ ElockNo. -r3 _ <br />Addition ____ _�-c�cr-_ -%', <br />Remarks ----- ---- --------------------- <br />--- ------------ -------------- - <br />--- <br />Supert to dent <br />LABOR AND MATERIAL USED <br />no, eiz. <br />a <br />------ ___./ice_.. Lead Connection Complete <br />33_.__rr.----�'�-- -`"----..._ ------.Pipe <br />------- /------ ---- Z___ Service Cock <br />u <br />-------- _____ ._ /_.. ___. Service Box <br />-------------- � <br />-- ----------- .------------------------- ---- _- ------ ..-- - <br />No. Hours Labor --------- _ ___Cost._____.% <br />Cuts in ---------------- Pavement --------- .X.__._._.__ ___------------Sq. Ft. <br />—"--"-X--------------- .� <br />_... _. X_...___.._____ •� <br />_-X____._.____._ <br />Tntal. ------------ Sq. Ft. <br />Remarks----------- -------- -- <br />--------------------------------------------------- <br />Order Received ------ <br />Work�X( <br />Work Completed ____V.W-___ <br />Foreman <br />