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���..�,.,A �„-� I 4 6 .
<br />w.o.ronwa Y � �b�� �
<br />CITY OF EVERETT-�Water Dept.
<br />'/ .
<br />AppHcation No...�'�1.7.� Dater�J,_ ' i �� � �
<br />...r, �.._:....� .....................19...... �
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<br />" Install.,.,-:_„+:�..__,_.,`. .in�h water service pipe
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<br />For � : ,•. i, , , . . ,,
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<br />- � . %�,ti� /� �% �� t � '..7,:�
<br />LABOR AND MATERW, L'8SD a�
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<br />No. � Size i . "
<br />•�������•�••�-�•-��••••••����•���......... Lead Connection Complete
<br />...........,_ ............................. Saddle Complete
<br />� , .
<br />....!::..:1t. _:....... .:. Y .......... ..:....:1......::tt..................................................Pipe
<br />::.......�......._'.'.:.:.:' ............. Scrvice Cock
<br />....................�..........,......... Service Boz
<br />.._.._....y ...................._...� .........................
<br />No. Hours Labor ..............................................Cost.........
<br />............................... ...........
<br />Cut in ....................Pavement............... X......._...............
<br />.... ........................Sq. Ft.
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<br />. <...._ ...................X........................
<br />. ........................ ��
<br />, .... ................X................ ��
<br />........ ........................
<br />....................X........................ ��
<br />........................
<br />Total ........................Sq. Ft.
<br />----------
<br />Remarks.................................... �.�.........:.. •
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<br />.......................................................�.�...._...1.�..� s: C._ !.......,. �.:..c:s_;.:c._.t::s.�:.r.i... '
<br />OrderPeceived ................................................................................................ /
<br />\Vor�. Comp:eted...%..�.�.3..:....5.: � _ �-
<br />. ................... . ..... ........' . .:. . : �....: �: s.:.<.-... . . ..
<br />Foreman /
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