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<br /> CITY OF EVERETT--Wat�r Dept.
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<br /> Application No.1��.����__a. _� Date.__�._�....:....�.......�...._..-----19.:---
<br /> Install......._:.::.`_.............:nch water service pipe
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<br /> On ...........:�.._/..�........_%:i::::--�........:.:.':.1.:..-......................_.._... Street
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<br /> , Superintendent '
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<br /> LABOR AN MATERIAL USED ,
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<br /> .................�:,�.... ..........� Scrvire Box
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<br /> No. Eours L�bor_..--_.....................................Cost.........._........................................
<br /> Ciztia....._.........._.PavemenL........_.........X........................ .......................Sq.Ft.
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<br /> ......_.---.......X......................_ .�
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<br /> Total , _......................Sq.Ft.
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<br /> Z�ior}: Com�leted.`l.:r.�..j:.:.::�._':�................._....:f l..�t�.r....a:.e�:¢....._....
<br /> Foreman
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