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S J. -In6e 4M .515 8 <br />W. D Form 3 <br />CITY OF EVERETT—Water Dept. <br />Application NO; ....... ?J1 .... Date ................... ......... lg.�� <br />Install ....... ........... inc service pipe <br />For................ ...... ....... ­ ................. On ........... .... ............................... Street <br />Lot............................... . .. ................. ... . ... Block No...._............................_. <br />Addition................ .. ..................................... ....................................... <br />Remarks................ 'V.—ZE .............. . .. . ...... ...................... <br />... ...................... I . ............. I ................. . .................................... ..... . .......... ........ <br />No, Hours Labor ........................................ . ..... Cost ........... ....... ... . ...................... . ... <br />Cutin .................... Pavement- ................... X ........................ ........................ Sq. Ft. <br />A....... . ... .... x ........................ ...... . .. . ........... <br />...................x.. ....................... ........................ <br />x ........ * ........... ... <br />Total ........................ Sq. Ft. <br />............. - ------------- <br />Order <br />Work <br />Foreman <br />