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W. D. Form J 1500 ,-I-17 C. F. , <br />CITY OFppEVERETT—Water Dept. <br />ApplicationNo.--jP..!�.3-- D to----./ 'P/- <br />Install ___----__in6h water service pipe <br />For. �-�//� e � <br />Street <br />Lot_d -__----------Block No. ---------------- <br />Addition --- ---------------------------------- <br />Rema•ks--- ------------------------------------- ----------- <br />-------------------------------------------------------------- <br />-------------------------------------------------------------- <br />----- - ---------- --- 11 ---------------------------- ------ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No <br />-1,Y-./bb <br />Lead Cnunectinn Complete 'crr^- <br />_.�_` <br />Saddle Cmnpletc <br />--._- -p/ ft. <br />---. Al - <br />-------:�'l .___.------- _Pipe <br />Service Cock <br />--------------- <br />�______________ <br />___ <br />____________ <br />^^`` -- �// _ <br />Service Buz �+ <br />__-------------------------- ------ <br />No. Hours Labor -__ -Cost ------ I_% -_ Y <br />Cuts in.__ _Lq...-_..Pavement_-_._._--_x-------------- ------------ Sq. Ft. <br />tL <br />x---- ---- ---- <br />---- - ---- ------- <br />x--------- ----- ------ ---- <br />Total, ------------ Sq. Ft. <br />Remarks-------------------- --------------------------------- <br />----------------------- -------------------- - <br />Order Received .___--- 't+ <br />f ! <br />Work Completed ____ __ � �------------w-- --- <br />Lggq <br />Foreman /�" <br />