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� ��� 5 l . _ ii-�� <br /> W. D. lORM 3 1 <br /> CITY OF EVERETT--Water DPpt. <br /> I, ,�.�:�:;c / / ✓ ' <br /> Application No... � .. .. Dste..__......::.-f'-�--..::�'_.�......19.:.:.� _ <br />' In�ta11.........�,.Y..............inch water service pipe <br />�� •' - ' , � ...--.... <br /> For ......1_i���..�.--.::_....�...�z.:..�'"r.��;.,,.�.............................. <br /> I � 7,: ;-,.i; ............................... Street <br /> , . . ......_. <br /> n ...........,............................................... <br /> Lot.............................................................. Block No...............--�-�--...........�-- <br /> Addition ................._............................._............................._.............. <br /> Remarks "�:!.:;::;:::..._��,�.:�ss::,�...:................................................ <br /> ........................................................................................................................ <br /> .......................................................................................................................... <br /> _...................................../....y..................................... ..............�.../�.-.�--"'_ <br /> ..... <br /> ...................I:.�..... -- '-.;,................................,,-....:::. <br /> / '.........:.....r-'---'_ <br /> R""':7 Superintendent <br /> �i�: ' .i �� �/- 'i� — <br /> �LABOR AND MAT�RIAL U3ED <br /> No. <br /> ' Size I — <br /> ................ <br /> ....................._........ Lead Conneclion Complete <br /> ..._................................................ <br /> Sa�3dlc Completc <br /> �........ft.. .I ..... ........:..:...:................._.............................PiPe <br /> ............... <br /> ......................... . .. <br /> ....._................:.... <br /> ......_................. Scrvice Cock <br /> _..._...................... <br /> ......................... Service Sox <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavemcnt....................X....................._.. ........................Sq.Ft. <br /> - � ....................X........................ ......._............... <br /> �� <br /> •- „ <br /> : � ....................X............._......... ................--.... <br /> � � Y......................... ........................ �� <br /> ....................Total <br /> .......................Sq.Ft. <br /> _—�--- ---- <br /> —____.— _ <br /> � . ................... <br /> Remarl�s.........:�.:........!t...:................._.......................................... <br /> ..._..... ................................................... � <br /> .....................�.J......_......................... ; <br /> ..........................:l.......,.�:..c..:.:.......i..................................................._...........� <br /> � . . _ � -!::.f...:..........:......_,.....---�---................ <br /> ;,� <br /> Order Receice .:.............................__ ,> <br /> -, . '- t:.:..:.::............... <br /> \Vork Completed.�:._:.._........._..::......................:....... . . <br /> Foreman <br />