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<br /> • CITY OF EVERETT--Water Dept.
<br /> A lication No.....:....:.....1......1 Date.......-:..,... /
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<br /> • " ipch water service pipe
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<br /> Lat...............�'J:.-..t:!..f..!......................... Block No..........�..�...L:.............
<br /> Addition ...._......................i-....��........................:_.'--?........._.------.............
<br /> Remarks ..........��JO c,s.I......�.....k-:a!_..:_u...r.:i'_!..r....,::.................
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<br /> ' LABOR AND MATEAIAL U86�D
<br /> No. Sizc
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<br /> ................................._........ L ad Connec �on Complete� , - -
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<br /> Saddle,Comp�te " ' '�
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<br /> 210. I�ours Lnbor...................-................'r.E�..Cd3t.:��:.'.1.,� �
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<br /> Cutin....................Pavement....................X........................ ........................Sq.Ft.
<br /> � �, ....................Y........................ ........................ „
<br /> _ �� � r ' ;y ......._..........x............_......... ........................ „
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<br /> � 7 � 3 i. ....................x........................
<br /> � Total ........................Sq.Ft.
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<br /> ; Remarlcs.............................................................................................................
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<br /> `Order F.eceived..............................................................................._..............
<br /> Rork Complded.............................................................. ..._................. ......
<br /> Foreman
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