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5.J.PnebN!!7A610 � �-� ✓
<br /> w.u.eo.A n � �9 3 . — . .
<br /> CITY OF EVERETT-.Water Dept.
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<br /> Ap,lication No.....................-1,�D�e,/..:...�..:..--��----=:.!....-.�..........19......�
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<br /> I�'1 �-� f LABOR AND MATEBIAL U$ED ,-�-j
<br /> __ No. S�u i ..
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<br /> _...._..............................................I Lead Com�ection Complete �
<br /> ........- . �.............. . Saddle mn�
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<br /> ......... . .. .. '..Ia�'i................................Pipe
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<br /> ......................................._............ Scrvice
<br /> .........._.......................................... Service Box
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<br /> � no. Hours Lzbor..............................................Cost...............................................--�-
<br /> Cutin..............._.Pavement_......__........X........................ ........Sq.Ft.
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<br /> Hemarks....................................................................................
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<br /> Order Received....... . ..........,.-....................y.-:. _
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<br /> `,\'orl: Completed�.....f .�f�f-�.........1.,!.:',r�i.,7�.1..t.'"l:'A..'+�.:_.......... %
<br /> Foreman
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