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W.U. Form J 1500 3-1-17 C. P. <br />CITY OF EVERETT—Water Dept. <br />Application No. _-I*3_ 1Date____.-/- _3____-191. Z <br />Install___inch water service pipe <br />For-------- -- - - ----------------- <br />On -----------� (.--- L, ..-- ------Street <br />Lot. --------BorkNo�J- -- <br />Addition -------- 0.4- j-'----------------- - ---------- <br />Remarks----- ------------- ------------------- <br />-------------------------------------------------------------- <br />-------------------------------------------------------------- <br />LABOR AND MA'rERIAh USED <br />„y, <br />Y _ Lrad Connection Complete C r' • y <br />_J `� - -._ Sad eC plele <br />.__ _- � �. <br />Service Cork <br />`---- Service Box <br />No. Hours Labor ------------- Q-...---- Cost- _:40..7------- _______—_—.- <br />Cuts in ------------- _Pavement ---------- X.___-....___ ._. _..___.Sq. FL <br />.__..--_.. X______________ <br />Total. ------------ Sq. rt. <br />Remarks .v4r5/b <br />-------------------- — ---- <br />Order Received _____-.� <br />SVork Completed ___- <br />rt:man <br />