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t d. rmicec a� 6�I ��� <br />M. 0. /p/y � <br />ITY OF ERET�"--Water Dept. <br />� _ _ . � ;._, <br />App?i�ation No.... �C.Z �..1... Date..,. � ..............%.---.:-'...........79.�... �. <br />Install..._..�.�'.,�.:.'..`......._..inch water service pipe <br />For..........._ ............................................. .....�....�.............._............_......._... <br />� '" T ' %� � �/. , ' -. / <br />On ..........._..r.-::.....':--°--......'.-......._1.�:-� ...:..............'�--- �--........ Street <br />Lot....---- ................••--._.......-----......_---.... Block No..... ._..._.___.__......•_- <br />Addition............................................................................................._........... <br />�-.�.��..�.��''�.�...-'.--..._..__._.........._....------ <br />, <br />.... .:.. . . ..... <br />; , �.". �. ,, <br />�, _,:.. .... _..:; j.;.u` .:.........................�--................,:.......:..-•--- <br />� ,. ; , a <br />. <br />Fc6 .� • - , <br />�:_... . ......._ ...............................................::..........._ - -' <br />T.tti '� � , � /� � s <br />,+ '!/ � <br />r LABOS A2QU JiATERIAL IISF.D <br />No. Size � <br />-- <br />.._............ _ .........................I Lead Connection Complete <br />......---.._ ......................... ... Saddle Complr.te <br />......._..St. _ ......................... ..................................._......_............ <br />................I.......................... Service Cock <br />-- ...................................... Servicc Box <br />..............Pipc <br />No. Hours Labor ..............................................Cost.........._.............._....................... <br />Cutin ....................Pavement....................X......._......_....... ..................._...Sq. Fl. <br />....................X........................ .� <br />..... - `---........... <br />v �� <br />....................X..........._........... �� <br />........................ <br />Total ........................Sq. Ft. <br />?'T i <br />� � <:� • �' . . / . .. <br />Remarks..l ................................;.....:............................................................... <br />. ........................--� - - - - - - -- -------- - — _ _ _ <br />, , <br />OrderReceived ..................................................... �_::.:..�............................. <br />J . / " �l` . , . <br />\Vork Completed.ti�..:...�.......J...:,� .............._.............................................. <br />Foreman <br />