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•v. J. PRIC3t']t{� ��� � � ' / j �
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<br /> CITY OF EVERETT--\x'ater Dept.
<br /> Applicatioe N�_-1�G.�'_c�-l.. Date..............��'c:r.,� 19.1..`
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<br /> Iastall...... :�................. inch water service pipe
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<br /> 'O'n'._.�7 . .^..-..._��;�.......��.::��..............._.......... ........... ........ Street
<br /> Lot............................................................. Block No................---..................
<br /> Addition ......................._ ...................................... ................................._..
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<br /> Remarks �:��trae.....;G_'��u:s:s:....-........................_...........................
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<br /> '':'I i' _ . �� , C�° SuperYntend�::u
<br /> _—__. ... , .,'� —L---__.— �>Z. CCJ _—
<br /> :'�;,�..,; i,`� ��` LAT,OR AND biATCR[eV, USED
<br /> No. Size
<br /> --- -- — —
<br /> ..................................................... :.ead Connection Complete
<br /> ..................._.................................� Saddle Complete
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<br /> ........L.:.._C....ft.....:d::........_......... ......._i_::.�.:._::.........................._....................pipe
<br /> .._.............1..........:!_.a..�:..:........... Scrvice Cock
<br /> ............................... ............:......... Service Box
<br /> ................./.........._s.::.:..�....�..i._... ....................................................... .......................................................
<br /> No. Hou:s L�bor..............................................Cost..............................._....................
<br /> Cutin..........._.......Pavement........__........X........................ ................. ..._Sq.Ft.
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<br /> . � ,' ................_..X........................ ,�
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<br /> -. , ��. . .................X........................ ........................
<br /> ,, .. � Total ......_.......__.. Sq.I't.
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<br /> Remarics........ .............�',2.(,......:.I<.r ,. _..:'�r...:... .:.......... --__
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<br /> OrderReceived.............__...................................._......._..........................---.... ��
<br /> \Vork Comp�eted.,.�.:.....: .::_ .:..................__. • , , � :
<br /> T'areman
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