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5 1.i'ri -b"M P. L (j/�'� <br />Form 3 i/ r� <br />CITY OF EVERETT--Water Dept. <br />LL install.? .............. Y.....inch water <br />Application No .... ... Date .............. ........... <br />/ service pipe <br />For......................(<t1...ki....'%.;'.........�.�.!..:.-i....:....= ....................... <br />_ _.. <br />O;1 ............... - <br />_,,:;.�./._�.....-- - .......................:....:.....--- Street <br />Lot ........ ...... <br />Addition .. <br />Remarks ... <br />BlockNo ..................... .............. <br />.......................................... ...... <br />7 <br />................ ..........._.. <br />,,TTtt II ... <br />Superintendent 1 <br />LABOR AND MATERIAL USED V <br />No. I Size I <br />-- <br />. <br />........................... .......... <br />:............... Lead Connection Complete <br />........ ..... . ......................... Saddle Complete <br />y <br />..............:....:...ft. _........ %L............ ........s,!:/�..a.:_........................................ Pipe <br />......__...........,!...........� 'ic..._...... Sewice C,ck <br />.............. _........... ....... : ................ . Service Box <br />No, Hours <br />Cut in....... <br />........................Sq. Ft. <br />11 <br />....:..... .......... X..... ............ I..... <br />.................... X.............. I......... ..................._... .� <br />Total ....... ..... ...... .....59. Ft. <br />Remarks.... ... ........... ....................... ...... <br />Order Received.. ....................................... <br />Work Comnleted....... <br />........._... .... <br />..................... <br />.. ....... <br />Foreman <br />