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✓✓ //�i7 �.' <br /> ��c � i � ��; <br /> w. orrr.nw :; �- •�.. �p�+� <br /> CITY OF E`JERETT--VJater Dept. � � <br /> ,, . <br /> Application No..�1 �/...�Z� Date........ ..._�1".._..�............_19.(...� <br /> T:istall..........................._..inch water service pipe �r ` <br /> For ... .. ./...... ........................F...... .... ... .. ................................. <br /> .. J� <br /> On ...........�t:..�.�..:..�%�.....__�� .z..Y..xt.c..<.c�.x�,.1.._-------... Street , <br /> � ' <br /> Lot.............................................................. Block No..-----------•----•---•--�---- ' <br /> Addition ... .. .... ....... ..... ./..�' .. ... . � .................... <br /> Remarks ......................._.......... !L ..�..:J..1.s�`�C.I.c..irceit.!--................... <br /> ......................................................-� ............................................................_ <br /> .............................. ..................................�--.................................---._................ <br /> ......................................................................................................................... <br /> Superintr.ndent <br /> c I,ABOR AND MATERI.IL USED <br /> No. Size I <br /> —__ --� - <br /> ....................._......_........__...........I Lcad Conneclion Complete <br /> ...................................................... Saddle Comrlete <br /> .......................f t............................ ..........._............._.._...................._......_.........P i pe <br /> ..................................................... Servicc Cock <br /> ...................................................... Scr�ic^ Dox <br /> No. liours Labor..............__...........__._........Cost.........................._....................... <br /> Culin_..........__....Pavemc�t....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....._.............X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — _—____--__ <br /> Remarks..... ............................................................ .......................................... � <br /> ........................................................................_..._._.........__.......................... <br /> ............................................................................................................................. I <br /> OrderReceived............................................................................................... <br /> \Vork Completed............................................................................................ <br /> Fui eman <br />