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�� 2 - . <br /> s � P.�. 5.�. . • <br /> a.u.F _ <br /> � -. � �:ITY OF E\/FRETT--Water Dept. <br /> �� � � " -' , :• � <br /> APPlication No.�U.,�.�-:.(S Date..........:.:.......::..."...._............19_��7 <br /> Install........_�.:.:1.........inch water ser��ice pipe <br /> For .................. ... .. '--;-.......................... .....---�-------....... ... <br /> '-. � -- <br /> ... .............. <br /> � � i <br /> ......,_::;�:1. .f?._'.:::�'T". ...........----. Street <br /> On ................................. .. ........ <br /> Lot.................................... ........................ Block No...--�----....---.................... <br /> Addition ............... . �..................................................... <br /> . ........................... <br /> �. �--� <br /> Remarlts ............. ......f�?.:.i.t.�...�........ ...............-----.....-----.............--- <br /> ..................................... ...................................................................................... <br /> ................. .........................................................................................�---- <br /> .......................................................-�{� •. <br /> � .......................................... <br /> ............ <br /> � • <br /> .............._...................._..... .....[�_� /..:?:1:��:�... <br /> ............................ <br /> ��/, Superintendent <br /> �� �r <br /> — �. <br /> LABOR AND MATERiAL USED <br /> No. Siu � <br /> ---- --- — <br /> ...._........................................_ Lcad Connection ComPlete <br /> ...................................................... Saddlc Complete <br /> ,. . <br /> ....._.:'�............ft.............:'........... ....._..�..:..:........................................................Pipe <br /> . ........_.. ......__......._............ Se vicr Cock <br /> ...................................................._ Seraicc Box <br /> IQo. f7ow�s Laho:.................................._......._Cost.................................................... <br /> Cutin..._.......__....Pavement........._.........X.._............_...... ................._.....Sq.Ft. <br /> ....................X....................... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X....................... �� <br /> ........................ <br /> Total ................ .. :�q.Ft. <br /> ----— ------- <br /> —.-- <br /> Rema rks.................... .................................................................................... <br /> ................_.G��.4':..%'�'.'.... .N...-n�.-s...................................._.................... <br /> . <br /> . ........... ...�.o..........t�J. .................................................................................. <br /> o�•a��• r,��o�;.�a...................... ....... ......._ ..,....., ................................ . <br /> �• �� <br /> . <br /> \Y'ork Completed......._....::...:...'.... ::........_...,.........._'.�`_'.._.....:........_.._.. .. <br /> Foreman <br /> --+c�.-- ---�. <br />