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8.'J. PRI[BC•SH 1;3 3 6b � � A � �� <br /> w. u. ron� a <br /> CIT`I OF E`JERETT--Water Dept. <br /> Application No.......,.,.�.z; i�,3� Date...........��.C.1C:�.-...�....19:�`.� <br /> 1 . . <br /> Inscall............................(-.mch water service pipe <br /> For ................................./......�.,..._........................................................... ... .... <br /> On ._:..��..�.,.7.......�..:1'.2:��1.:7::z<c.t....C.�.,:ct.�Street <br /> `.;l Lot............ ................................................ Block No...................................-- <br /> :lddilion ......... ............................_ ._.. ............................_...................---....... <br /> Remarks ............................. ............................................ ............................. . <br /> ........................................................................................................................... <br /> ......... .............................................................. ................................................. <br /> .................................. ............................................�- ...........................--�---.. <br /> ..............................................................._..............................................."'......... . . �.".-;:��"- 9 <br /> Superintenden�. <br /> LABOR AND 11[ATERIAL USED <br /> No. Size i <br /> ------- --i--� --- <br /> . ..._......................................_.........I Lcad Cnnnection Complete <br /> ................................................._...� Saddlc Complete <br /> .......................f t............................ ........................................................................P i pc <br /> ....._................._.................._....... Scrvice Cock <br /> ...................................................... Scrvice Aox <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Culin............__.._Pavemcnl.........__.......X........................ ........................Sq.Ft. <br /> ....................X.................... �� <br /> .... ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — — ---'--- --- ---- <br /> Re m a r ic s............................................................................................................. <br /> ................................................................................................................... <br /> ........ ................................................................................................................. <br /> OrderReceiced............................................................................................... <br /> \Vork Completed......................................................................................... .. � <br /> Foreman <br />