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N b, form 3 1500 3.1_17 C. P. <br />CITY OF EVERETT-Water Dept. <br />Application No. 7b9'7 Date__- <br />For <br />Install---- / — ____inch water service pipe <br />_- __G__ <br />Lot.----------- ----.Street <br />-----_-.___-Block No•______ <br />Addition -------- ------------ <br />---------------- <br />--------------- <br />emarks- <br />-------------------------------- <br />------------------------------- <br />------------------------------- <br />--------------------------------------------------------------- <br />�— Su rintendrna��' <br />LABOR AND MATERIAL USED <br />No. TSIZE <br />1 `-"""" 1 Lead Connection Complete <br />a_6_---- tt to_ r_ . <br />`al�;d'-- -- Q- ------- _.Pipe <br />-------�----_—S vice Cock <br />---- -....... Service Box <br />------------- <br />' No. Hours Labor ---- }}"_-_-_-_ - <br />Cuts in <br />--- Pavement ---------- X-------------- ---- <br />-- X..------------- <br />-- --""X-------------- <br />Total, �— <br />-- ------------ Sq. Ft. <br />Remarks:___.. <br />---- - <br />Order Received _--- ------------- -'"--- <br />------_ <br />Work Completed -- m -- ------& / /Jp--o-`-----7 - ---- <br />O �emnn-�- �- <br />