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W. P.Form J 1500 a-1-19 C. P. _ <br />,CITY OF � EaaVERETT--Water Dept. <br />Application No. _1_Q_1_t / Date____._ <br />YIn- -all__ -- I ______inch water service pipe <br />l�ca rvrlt_--------- ------- ----- <br />On_I� /------- -- ----- Street <br />Lot?/_'/o_/7QQ (- 53' 13ilockNo.------------- <br />Addition[i - - <br />Remarks----- ------------------ <br />--------------------------- - -- <br />I% tlsupcki,ntendent <br />LABOR AND MATERIAL. USED <br />NO. <br />SIZE <br />------- <br />____-- <br />_ <br />Lend Connecl;on Conlple(e <br />��___. <br />_ <br />----9----fc <br />_-. <br />C.l=--------------. hPC <br />------- ------ <br />-__�Z__. <br />Service Cock <br />_______ ________ <br />--- <br />Serv'.ce Box <br />_______ <br />____________ <br />___ ______ _ _....__ __- ___'___- ----- _._-_._...._____..__-_._.- <br />No.Hours Labor____ r�----- __.._._Coat._._5.._t.l=_'.3----------- _______ <br />Cuts in_Z�...Pavement--.-___.A----- __.---- --- .._.._..-Sq. Ft. <br />X.--- _-------- .. <br />'total. . ---------- Sq. Ft. <br />Remarks------------------- ---------------------------- --- <br />Order Received - ` - - <br />Work Completed _ _ _ _ _t:`_ ._ _ _ _ L <br />Fomman _ _ <br />