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W. D. Form 3 1010 H %24 <br />CITY OF EVERETT—Water Dept. <br />Application No. <br />hate <br />a <br />Install <br />ll <br />C�V <br />I h <br />Inc service pipe <br />At er <br />Jd7�1_ <br />For Jd <br />On 3 cv-2- $ .. <br />(L?kXA-1 ...... Street <br />Lot t '7... <br />Block No.... ... [ . . ....... .. ......... ... <br />Addition <br />Remarks <br />No. Hours I bar ................. ........ ............ Cost..\J .... = . . ....................................... . <br />Cutin............ —.........Pavement .................... Y_ . ........ . ....... . .................... Sq. Ft. <br />.............. x ............ I ........... .................... <br />.......... x ........................ ...... <br />.................... x ....................... .................. <br />Total ....................Sq. Ft. <br />.......... .... .. . . ..... . ......... ..... <br />Order Received ........ .... ... , <br />7' <br />Work Completed .._Ls <br />