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• W. II`Form a 1500 a-1.17 C. P. ` <br />CITY OF EVERETT--Water Dept. <br />Application No. _r/AP. _ Date____------Igz_x <br />In -.I,- ---inch water service pipe <br />ror---- <br />On--- -----1-1PSi Street <br />Lot ---------- ---.Bl ek No.- 3 S ------------ <br />Addition------------- -- ------------------ --- ----------- <br />Remarks----- -------- ----- ------------------------- ------ <br />- --- ----- ----- <br />------ ------------ ----------- --- <br />Su "n ndent <br />LABOR AND MATERIAL USED <br />SIZE <br />!--_ <br />I.fad COaneCllna CUmfll'le `- <br />t—1 .-- <br />_.%j <br />n <br />S:uld a Co plcte <br />Service Cock <br />Service Box <br />— I— i _— <br />No. Hours Labor ---- ------- (I -------- -- Cost .-' 3---.1�.----------------- <br />Cuts in____------.._.Pm'emeni. --- ..._.-. X.._.___.__._ _._._.------ Sq. Ft. <br />X______________ •• <br />—X <br />_.._____ __._--_.__- <br />X------- <br />Total. ___---- . _-, <br />sq. Ft. <br />Remarks--//!' : .' — — ----- <br />Order Received <br />Work Completed --------- Foreman <br />