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<br /> CITY OF EVERETT--Water Dept.
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<br /> APPllcation No.......lL.. .I.:�... D�ei:.........�'.::1..:...::1U....19.::�,
<br /> Install.._.....��,`_L. - inch water service,i �,
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<br /> For 1�L��c;.4.:�'^ '(�c:. !�.-`:�" -v" , � .!..:���'
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<br /> � . ��/�-c�.�:J �. .y .. Street ��
<br /> On ...................�.................................---............................_.._.
<br /> Lot....................�5'9....................._.._... Block No........_......_.._...............
<br /> Addition .............._..........—...�.............................................�.�..._..--•--...-�---... �
<br /> Remarks .............�.t:G�t ..t�.:�..��.../.1t::::u;,..,`%J� s�•:E;,c•ci._.cJ
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<br /> , /�'�'_� ' Superintendent (�
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<br /> LABOR AND MA.RItIAI. IIBED
<br /> No. Size �
<br /> ,,,,,,,,,,,,,,,,,,,,,,,,,,,__,....................... Lead Connection Cumplete
<br /> ...................................................... Saddle Complete
<br /> '/v n � � �•..'..F.-............. ....................._...Pi e
<br /> .................�..St._:........................ ...G...:..�...� _. p
<br /> ,,,_,,,! „-!�!... . Service'Cock
<br /> ............ ...... ........ .
<br /> .................._.f......................,......... Service Bo:c
<br /> No. Hours Labor..............................................Cost.............._......................_...........
<br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft.
<br /> ....................X....................... ��
<br /> ......._...............
<br /> ....X........................ .�
<br /> ................ --......................
<br /> ....................X........................ ��
<br /> ........................
<br /> Tatal ........................59.Ft.
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<br /> Remarks...............................:+.�.!�r.:.c....�..2.L�..::.:...�.......�..�..•.,....:(..,c.-_c:�
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<br /> . ,��1.r.r.:.........:........ � G.,..................................
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<br /> ..................................................._........_.......""............................................_'-"_ .;:.,'
<br /> OrderP.eceiced.............................................................................................._
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<br /> \Vork Completed...L.1......�,..:,..-.?.�............ ........�.'.;�L._.,.:,t..�....\ i
<br /> Foreman � ��R'+
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<br /> :X�i'�
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