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W. D. Form J ISee 3-1-17 C. r. •�" _ • - <br />CITY OF EVERETT—Water Dept. <br />Application No.__�_9!7 Date ------ V_ _9---- 191_?_ <br />Install___Ap..------ -inch water service pipe <br />ur- <br />Jn___. _ r�-------Street <br />Lot. `•?'----Block No---- � 5 A ------------ <br />Addition----------------------- ----------------------------- <br />------------- --- <br />-------------------------------------------------------------- <br />------------ <br />------------ <br />/� <br />LABOR AND MATERIAL USED <br />A---- Lead Connection Complete <br />-_-.--_�.-__ Saddle ompl to <br />�Itt. r �!............ ........ Pipe <br />�� <br />Service Cock <br />i <br />---_- Service Box <br />---------------------------------------------------- _----------- <br />--------- _ <br />______.___. __ <br />- --------- <br />No. Hours Labor -------- F ----------- ---Cmt---- t:& ------- ------------- <br />Cuts in...--------- • Ft. <br />._..I avemcnt___...._X________------ -..-.-_.-._ <br />Total, - ---Sq. Ft. <br />Remarks------------- ------------------------------ <br />---------- ----- ---- ------------------------------ ------------ <br />Order Received ---- ---- !— r <br />WorkCompleted------I/ �'— 4� / <br />Foreman //J <br />