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<br /> a d PIO[�[ 9�M �1 � O ` � � /.���^�
<br /> W � �CI�Y OF EVERETT--Water Dept. ,
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<br /> Appllcation No............. ...:'.._.�D te.................. .
<br /> Install....-�.!�.., in water service i
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<br /> For ......... .. , ,-_-•
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<br /> On ................-`•=�/...?..........;....i:.,._..L...................................--. Street
<br /> Lot.......................................... .........._....... Blxk No....................................
<br /> Addition .................................................... .��...... ....... #
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<br /> 1 ,L
<br /> Remarks �
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<br /> _Y. I� ii �� �
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<br /> `�.�'i. . ... ...... . ...-•-.../.......................................,� u rintendent
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<br /> LABOR AND MATERIAL BBED
<br /> o. Size �
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<br /> ,,,,,,,,,,,,,,„ .,.,.,,_.........I Lead Connection Complete
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<br /> ..........................� Saddle Completc
<br /> .......................tt._-........................ ..................................................................._..Fipe
<br /> ..................................................... Service Cock
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<br /> .......................... Service Box
<br /> No. Hourx Labor..............................................Cost...................................................
<br /> Cutin../..................Favemenl..............._...X......._............... ........................54.Ft.
<br /> 3 '/ "` � � .........._......X....................... ...................-... �,
<br /> /T ....X....................... ........................
<br /> ��J r � _ � � ...................X........................ ........................ „
<br /> ` Total ........................Sq.Ft.
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<br /> Remarks.....� .....�.................::�.'...:.... ....__......:..... .......:...:...................
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<br /> Order Peceived..........._........................_.........................:.......-----.........:..'..I
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<br /> \Vork Completed.�...:-..�....::::_'!..`.............................................. .......
<br /> Forc�nan
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