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� <br />W. D Ivw. ] ����� • . • . <br />� CITY O� E`JE�ETT--Water D+:pt. <br />>� �; ;1, h / n..i -. . <br />Application No........" ............... Date............_::..............................1. <br />Install ...............................inch wster service pipc <br />For ................... ............�.................. _.. ......;... <br />..... <br />........................................ <br />On .....:.� �.�.`.'.'.�.....!.:..�-.���.x.`4:.4..��..,.:.:. .��.:�.�t_ ....::............ Street <br />Lot......................................................../... Block No..................................... <br />F.ddition ...................................................................................................... <br />Remarks....................................................................................................... . <br />.................................................................................................................�- <br />.... ................................... ............ <br />Super:ntendent <br />LABOR AIVD MATERIAL USED <br />� <br />.............I :.ead Conncction Complele <br />........._.! Saddlc Complcle <br />............. ........ ................................... ...... <br />............. Scrvice Cock <br />............. Scrvice ➢ax <br />_.....Pipc <br />.......................................... <br />_............. _ _.......... _. _........ <br />..------------. _.-- .............. .. <br />No. 1{ours L�bor ..............................................Cost.................................................... <br />Cutin ................_..Pavement......_............X.........._............ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X....................... �� <br />. ...................... <br />......... ..........X........................ ........... ............ ,. <br />Total ........................Sq. Ft. <br />�z----- -- -- — — -- _.---- <br />Rem arks ......................................................................................................... ... <br />......................... .......................- - - <br />Order Receiced ................................... <br />\VorY. Completed....._ ........................ <br />__ ..._. ........._....... _..... .. <br />Foreman <br />■ <br />