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W. D. Form J 1500 3-I-17 C. P. <br />Li <br />CITY. OF EVERETT—Water Dept. <br />Application No. - Date____ _ �/a_9____191L_ 2— <br />�__; inch water service pipe <br />For�- — oZ��- L' <br />On----------2 / / -$--- Street <br />Lot ------------------------- Block ----------- <br />Addition----------------- ------ --- ----------- <br />Remarks ----- ---- ----------------------------- ---- <br />---- ----- — -------------------------------------- <br />LABOR AND MATERIAL USED <br />n�« <br />p• � . .-,_-. . `��_.. .. Lead Connection Complete j __ ..___ _----__. Sad igtele <br />2ft. ._�....- _.. _.. ..............Flpe <br />tf <br />C___--__ .4_.____Service Cack <br />-_____.Service Brx <br />No. Hours Labor ----------- ,(J ----------- Coat___-T'-O R- <br />Cutsin---- .---------- -Pavement, ......... L-------------- ------------Sq. Ft. <br />—A -------------- •� <br />_-x------------- . •• <br />Total. ------------ Sq. Ft. <br />Remarks, <br />.y- - 'a fA -------- <br />-------- ------ .................. <br />Ord er Received ---iGu�zG� r <br />Work Completed -------- <br />Foreman <br />