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y <br /> � '�'S�O �"0 7 - . �� �:�y <br /> � <br /> w, o. ronw a <br /> �� CITY OF E\��RE'TT--Water Dept. <br /> 4opli�_ation No.f.:.�.�.lc�...%'.. Date...........�_-/......_...................19....��.'.-Z <br /> /��� /install......_.J...........�.......ii ch water service pipe <br /> For .....C.'....f"�,hr.`CL,.I.. ......,/ lc..��.�`z.�.:.......................................... <br /> On ..........i�.�._�_�,.;:t,:az-:L.�n<.:�.........................._... Street <br /> Lot2�1.c ....�u�'-t'ri..�L?......... Block No..................................... <br /> �ddition .................................................................................•--................... <br /> Remarl:s .......................... . . . ... .. .... . . ... <br /> ......... � <br /> .... <br /> ....... .... ._......................... :�i.t:a.�L�.�t.l.c�.n..5::..................._.....-�----........ <br /> ............................................................................................................................ <br /> ........................................................................................................................... <br /> ... ................ .................................................................................................. <br /> Superintendent <br /> LABOR AND MATERIAL UBED <br /> No. ' Size 1 <br /> .... ...........................................I 'cad Connection Complete <br /> ...................................................... Snddle Complete <br /> .......................ft........................... ........................................................................Pipc <br /> ..................................................... Scrvice Cock <br /> ..................................................... Service Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Povement....................X........................ ........................Sq.F!. <br /> ....................X........................ �� <br /> ......._............... <br /> ....._...._.......X_....._............... ........................ " :,.,. <br /> �: <br /> �, � <br /> ....................X........................ ........................ �:... <br /> �: . <br /> Total ...Sq.Ft. `-�� <br /> --------------� �... . <br /> Remarks............................................................................................................. "i <br /> ......................................................................................................................... ,; <br /> . ............. ........................... ...................................................................... <br /> Order ?Zeceieed..................... .... ............................................................... .. � <br /> \Vor!c Completed........................ ........... ....................... ........................ ...� 4;:' <br /> Foreman . sr�W.:: <br /> .;,';,;�:� <br />