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W. D Form 3 1500 3.1-17 C. P. .. <br />CITY OF EVERETT==Neater 9,D_7Dept. <br />ApplicationNo._b____ Date____.?/_�_.____I91C__ <br />Install____. t <br />__`?._____inch water service pipe <br />For - <br />On ------ Z7 -0- -2-:-7- -;2�-;2� -------- Street <br />Lot. [ —.�-----------Block No.--------------------- ---- <br />Addition ----------------- <br />Remarks----- ---------------- ------------- <br />--------------------- ---- I ------ ---------------------- --- <br />-- � v SJperintende j <br />LABOR AND MATERIAL USED <br />NO. 912E <br />------ 1------- --- yi---- t '..vim <br />___ Saddle mpl e <br />v '3 0tt. �'�.___.__._.............Pipe <br />------- ------ ___. .__. Service Cock <br />___________�.�Service Box <br />No. Hours Labor ---- -------------------- Coat.-___—_. ___-__••---------- ----._ <br />Cuts in. ---------------- Pavement ---------- X-------------- ._--------- Sq. Fr. <br />.._...__..------ <br />------------ <br />__.. -'---X------------ <br />X. _ <br />Total. _ _ Sq. Ft. <br />Remarks- ----------------------- <br />-z_ ostO_ iY/0 <br />----------------------------------------------- <br />------------------------------------------------ --------------------------- <br />Order Received ---------- <br />Work Completed--__-----(/_`�_--•_ ---�----------------- <br />Foreman <br />