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<br /> CIT'Y OF EVERETT--Water Dept.
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<br /> Application No............_';:........ Date.........:....:..:.:....:.....:�..-_.........19._....
<br /> ; . Install.._...�.c,f,,._.�.....inch water service ipe
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<br /> Addition ....................�.1..............----...................
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<br /> Remarks ">' ��`� . _-. ,
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<br /> : AUG o� ' � '
<br /> �� ���Y cf� ' ANID MATECtAL IISED
<br /> No. ...zA'' �:,��. ..'
<br /> ..........................._.................�..... Lead Connecti�n ComPlete
<br /> ..........._......_.._............................. Saddle Comple:e
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<br /> ..................................................... Service Cock
<br /> ...................................................... Service Box
<br /> No. Hours Labor..............................................Cost...................................................
<br /> Cutin....................Pavem�nt....................X......._......_....... ........................Sq.Ft.
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<br /> . �� / � ...................Total.._............. ,�
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<br /> OrderF��ceived.............................................................. i.-----..............�
<br /> �4arb: `.omgleted....y�...'.,;r'.:.U......r'.:....:...:.............::..............----....._....._.
<br /> Foreman
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