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<br /> CITY �F EVERETT--Water Dept.
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<br /> Application No.....I��`�.�� Dat�..---.....r��r.:��.........1�......19:�.f
<br /> � � ........inch wa er service i e
<br /> Install...........-'........ : P P
<br /> For ..............<_ --........................ ..
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<br /> On ..................s.-s.�.:...-`�..t.................�......�t:..J..................... Street
<br /> Lat............................................................ . Block No.....................................
<br /> Adciition ................ t ............................................
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<br /> Remarks ..... a1..(.tc...L'�.�.'--.o.:�:L..;:.�L�.......":./..:�......._............
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<br /> ''^�'..'��.� LABOR AND MATESIAL DSED
<br /> No. S�=� I — —
<br /> „,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,, Lead Conncction Complele
<br /> , ........ Saddle Complete
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<br /> 1....ft.. ��6�:............ .......................................................................Pipe
<br /> ................... ........� .
<br /> .......................:................:............ Scrvice Cock
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<br /> ,,.,[................... Scrvice Hox
<br /> No. Hours Labor..............................................Cost....................................................
<br /> Cutin............... ..Pavement....................X......._............... ........................Sq.Ft.
<br /> . � �;. ; :.:�;�, ...................X........................ ........................
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<br /> / ; ....................X........................ ........................ ,�
<br /> '` , /: .�.� ...................X........................ ��
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<br /> � � //'/'�� —/ !�'' _ Total .......Sq.Ft.
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<br /> Remarks.................................: ,
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<br /> ..........--...........................:........i.i.:�:.t..,....................................._..........
<br /> OrderPeceived.................. .._...................................................... ..............
<br /> \Fm�k Cam�;leted..._•:.'.:.�..:.:.: ._'.:........_._.__... . .... .
<br /> ................ _ ..._.
<br /> � Fore an
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