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<br /> B:J. PPIfI�I•
<br /> W. O. fOFM .
<br /> CITY OF EVERETT--�Iater Dept. ,
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<br /> Application No ........... D�e ....- .
<br /> ;�7�sta11...........`�� .inch water service pipe
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<br /> ................ Street
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<br /> On ....._....... ,
<br /> Lot..................��.::;:................................ B1ock No........_...........................
<br /> Addition ..........................................................................................................
<br /> Remarks ..................................................................................................
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<br /> .....':,,_..:.t:�................+.,................. SuPerintendent�
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<br /> � LABOR AND M.ITtiRIAL USED
<br /> No. Size _
<br /> ............................................ :.cad Connection ComPlele
<br /> .......... ,
<br /> ...................................... Saddle ComP ele
<br /> ................ . �� ..............Pipe
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<br /> ......................1...........::'............... Scrvicc Cock
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<br /> ,,...... Service Box
<br /> .................No-'Hours Labor...................
<br /> ...........................Co st..........................._.......................
<br /> ........................Sq.Ft.
<br /> Cut in....................Pavement....................X........................ ��
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<br /> . : .; - � ........... ...............
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<br /> , . � . ....................X........................ ��
<br /> . . - � ....................X........................ ........................
<br /> ' ' � Total ........................59.Fl.
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<br /> . . ,�..:..........:............................................
<br /> Remarks...............................
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<br /> ......................_..........._._....Wlt....._..�.,:.�.:..._................................................_..-. �
<br /> OrderReccived...........................................................�,......,......................
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<br /> \Vork Campleted..�...'...�'t�..-5..`.�.............._..::,`• '�. Foreman
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