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W. D. Form 3 6.0764 <br />S. I. Pdebo <br />CITY OF EVERETT--Water Dept. <br />-f i- ! _ <br />Application No..-Z.. Date______________ _ ___Ig_•.- <br />Install..:: .:inch water service pipe <br />- t �..r. c <br />For — ---- `-=- --------- --' <br />On . --- ------' !` - -.Street <br />Lot.-------- ........... Block No... ................ <br />Addition <br />Remarks-------------- <br />-.. i._., <br />_f --------------- ----------- ------ _ " --------------- <br />' - -�-� � I• -�--- _�--Suoedmm�dent �- <br />I <br />LABOR AND MATERIAL -GSED-� <br />--------------- -3---i--__-___ Lead Connection Complete <br />Saddle Comnlete <br />i <br />_______� ___.tL _____ -3 •� -4-.1_...._.._.Pipe <br />per_.__ <br />%._.___ _ ly.__..__. Se_rv__ice_ Cock .. <br />._____...__... _________ I Service <br />Box <br />----------------------------------------- <br />No. Hours Labor ------.qz_ <br />Cut in.______-_... Pavement .____.--___X._._........... <br />--------------- Sq. Ft. <br />�. ............ X.... ___---- _ --------------- <br />�• <br />__X--------- <br />---------- <br />--- ._-_..__-___•_ <br />Total -______ ------- S9•Fr. <br />Remarks <br />---------•--- ........... -------•----------- <br />Order Received____________________________ <br />_._•----------------- <br />Work Completed --------------•-_-------• <br />Faremon <br />