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CW. D. Fcrm 1 I500 3-I-17 C. P. -' <br />CITY OF EVERETT—Water Dept. <br />Application No. _'7�%_gs_ Date ---� (0__-_-__191?'_'_Z <br />Install____ 7 inch water service pipe <br />Igor ------ <br />On---.- <br />---------- ---------- - Street <br />Lot. } -----------Block No----------- -------------- <br />Addition ---- <br />Remarks _ _ _ _ <br />------- ---------------------------------- --- — -- <br />St <br />LA !OR AND MATERIAL USED <br />NO. <br />-�SIZE — <br />.__.._..J---- <br />.__21�r,.... <br />Lead Connection Complete -Ijl� <br />--------------- <br />ft. <br />.. <br />/y. <br />Sr )le Cn tpletc <br />--------9. <br />_ <br />�, _____.__Pipe <br />-------- '-------- ------- <br />---------- <br />i <br />____2! ___. <br />Service Cock <br />---------- /__ <br />.._. _ .. ----- <br />Service Box ' <br />No. Hours Labor..— .____--Cost__ J-�6____________-- <br />Cuts in ------------ _.. Pavenent------- .__X--------------- ------------ Sq. Ft. <br />...... X------------- ____________ •• <br />--X______________ <br />Total, ''; ------------Sq. Ft. <br />Remarks.- -/5 %L <br />- <br />Order Received .---------- <br />Work Completed e - <br />Foreman <br />