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<br /> CITY OF EVERET�!'..Water I7ept. ; _ ,�
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<br />' APPlication No........_..........--. Dac`'--••�--`�"'�ch water service pipe
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<br /> Lot......I:....................._....
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<br /> Addition ...........................................•---.............._...........................................
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<br /> Remarks .........: ....... • • � . • � _�
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<br /> — � � VD MATERIAL U6ED ��__
<br /> N . S_ �Z_��
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<br /> ................. Lca3 Connection Comp e e
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<br /> Saddle Complete
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<br /> ......�...ft._.._-.c................. .
<br /> ' fa.' ............ Scrviee Coc
<br /> .......................x.........._..- Service Box I
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<br /> ...Cost...................................................
<br /> No. Hours I,abor.......................................... ........................Sq.Ft.
<br /> Cut in....................P�;�.•ement..............._...X......._..............- ......._............... ��
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<br /> OrderPeceived..................................................................:............................
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<br /> \Vor�. Com[' ............. ........... . � Foreman
<br /> ,leted.:'._-...:.:.::_?..:?.
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