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w. u. ronw� � �� V <br />+CITY OF EVEiZETT--Water Dept. <br />Application No..1__.�:....:'....:..� Date...........:i ........:......_...............19...... <br />� <br />5stall ...............................inc1� water servi•,e pipe <br />� / <br />For .....� _.1 :..............�.::.C.:c� ; <br />...... .................... . <br />:............................ . <br />On ................ :�...i..a:.....: J......_.� �..:...: . . : � ; <br />, ...... <br />........................:........................ Stieet <br />Lot.............................................................: Block No..................................... <br />^ddition ..._ ................................ <br />.............................. <br />/.. ........ .... ............. . <br />Remarks .............................. � <br />G ..........:............... �... <br />........................................ <br />_ ................._ - <br />.................................................................. <br />................................................ ............................ <br />Superintendent <br />I.ABOR AND hIATERIAL USED <br />No. <br />......- .......................... - � ..ead Conncetion Complele <br />_ ..............._ * - , <br />._ ....................... ...._..._...............1 Saddlc Complete <br />.......................ft............................ . . ........ __........_.................................Pipe <br />..._.___... <br />.................................................. Scrvicc Cock <br />....._ ............._...__..................._._. Ser.iccBox <br />........................... .......................... <br />I_ .......... .. ...... . .. .................._................................. <br />� <br />No. Hours L�Uor_ ............._..............._...........Cost........................_....... <br />................... <br />Cul in.........._.. ....Pavemcat ............. .....X_......_............. ........................Sq. Ft. <br />..................X........................ ,� <br />....... _ ............... <br />.......... ........X...................._ �, <br />........................ <br />... ............X...._................_ „ <br />........................ <br />Total ............._...... Sq. Ft. <br />----- ----------' __'-- <br />--- —_ <br />--- <br />e t n a r ks ............................. .. . <br />......................... ........ ................. ....................... .......................................... <br />OrderN.ecciced.. ......_ ....................................__...................... <br />.... ............. \ <br />1Vork Camplcicd.. ....._... ....._ _ <br />____.__ _. <br />_._ ... ._. <br />__ .. <br />F ,���man <br />