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qkiF:ci <br /> N�.. <br /> �. <br /> �{ti.. <br /> �`�`¢. <br /> . ' ^�..,:`k,v' <br /> � Ta?v4 <br /> . /� � ��';F1�.:• <br /> ��H: <br /> ?i�y' <br /> i'�-' <br /> i.;�; <br /> . t.',�ne;A� ,� <br /> _���0� -- ; - �-�„- '7 � � <br /> w. o. ronri a � � } <br /> CITY OF E`JERET]--`"Jater Dept. <br /> � <br /> �.����� .= �-� �=�:1 <br /> elpplicat;on No..l.:....:............ Da.te................................................19..---- <br /> Install.._...........................inch water service pipe � <br /> For .................................................................................................................... + <br /> i�� � � <br /> On ......1..�..�........i..t.c:.['-.�:.r._::::�.:.::::%................................ Street <br /> i <br /> Lot.............................................................. Block No..................................... <br /> Addition ............... ...................................... .............................................. <br /> Remarks .....................................�--................................................................. ' <br /> .......................................................................................................................�-- <br /> .................................................................................................................... <br /> Superintendent <br /> LABOR AND MAT�RIAL USED � <br /> . No. ......._Size..... <br /> ._ , .,,,,.. . . ..... Lead Connection Complete <br /> ..................................................... Saddle Complete <br /> ......................::t............................ ........................................................................Pipe - <br /> ......_................_.........................._ Service Cock <br /> ........................_�................,......... Service Box <br /> No. Aours Labor..............................................Cosl.................................................... <br /> Cul '.^....................Pavement....................X....................... ..............._.......59.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ......................-Sq.Ft. <br /> — ------ <br /> `' ' Remarks.........................................................................................................._ <br /> _.............. . .. <br /> .......... ........... ..... .......... . ... _.................._ ,,x.,5 <br /> � <br /> ........................................................................_. ....................................----... � � <br /> �_ � � Order Received.. .................. .. � <br /> \Vark Cc npleted. . ...... ................._ . ..............._........ ..... ...... . ._. <br /> Foreman <br /> ! <br />