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<br /> GITY OF EVERETT--vVater /�pt�•
<br /> /�n ............._::'.1...�:..�s.:��. -�-
<br /> Application No��L.L.f........ D�te...............
<br /> nstall.....,�...`.�-�� �ch water service pipe
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<br /> For ...................%..,........ �::s. 1`` � ,
<br /> � � �'. 1 '�- Street
<br /> On ..............::..]:._......;:i................f. , S_._ .._•.............
<br /> Lot........... •..�.:.�..._..........�...'.,1... Block No................_.._._...........
<br /> .............. y.
<br /> - ! � , � -
<br /> � 2 l.-..(. •- ,.•, - ..::j......-:•-
<br /> Addition .��2.L.::.:....�...a...........5�. .. ................
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<br /> I'iemarks ...._/.....:�..:�.:!._............,_.:.,.:.�._..:. �
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<br /> . ............_....._.. . . . guPerintende4t
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<br /> �---s I.p801t AND MATEB,IAL �sED
<br /> No. Size I �----
<br /> ............._..
<br /> _ ,,,,,,,,,,,,,,,,,, Lead Connection Compiete
<br /> .......................... Saddle Coroplele
<br /> ..................._....... .Pi��
<br /> ..St._. ._............_.......
<br /> .........._.................._......____ v:
<br /> ....................... .
<br /> .................._. '
<br /> .................
<br /> .................................... Scrvice Cock
<br /> ,• .,..,,.. Service IIox
<br /> .................._..........................
<br /> �� ..................................................._.........._.........................................._...
<br /> ' ............_............ ...........................
<br /> . ............................................_..................................................................
<br /> .._._................_...
<br /> No. Hours Labor..............................................Cost..................-.................................
<br /> ........................59.Ft.
<br /> Cut in....................Pavement..._...............X......._............... ��
<br /> ....................X....._.................. ......._...............
<br /> ...................X........................ ........................
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<br /> ....................X........................ ......_...............
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<br /> TnWI ..........._.__...SQ.Ft.
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<br /> .........................:....................... .............
<br /> '
<br /> Remarks...:.......:.......
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<br /> _..__.............................. �
<br /> ............_._ �
<br /> .................................................... /
<br /> Grder Peceived..............._......
<br /> ... ....... ........................._...............................
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<br /> \Vor}: Compleled.........:............�. Fcrem❑v
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