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w. o. ro�w a (� �� I � • .._... L.L�.J f/�J � �. <br /> GITY OF EVF,RETT--Water Dept. <br /> Application No...�.I/ �G- `� - /'�.�...............19...... <br /> .. Date......_�.......... .. .. <br /> Install...............................inch water service pipe <br /> For ........................................................................... ................................... <br /> 3 )1,�,, .sc.:C.�_:.. .--'" .............. Street <br /> On ...........c....L.�..................{....---........................ <br /> Lot..........................................._U......_....... Block No.........--�----...............-�---- <br /> Adclition .......................................................................................................... • <br /> Remarks ......................................................................................�-�---.............. <br /> .....................................................................................................................�---.. <br /> ....................................................................................................� ...---��-�-�•----.... <br /> ........... .. ...._ . - .....--.................---................. . . <br /> J.._`........:.----...._...--�--- <br /> ........................................................._................/�..�i.!:.........�::t::±_:�:}..... <br /> `Su�peyiintendent , <br /> �'�YC�L L.c,W . <br /> LABOR AND MATERIAL USED ! <br /> No. i Size � <br /> --- <br /> ................................................. Lead Connection Comp7ete <br /> ...................................................... Saddle Complele <br /> .......................f t............................ ........................................................................Pipe <br /> ....................................._............... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Laoor..............................................Cost.................................................... <br /> Cut 'n....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> '....................... <br /> '...................X........................ �� <br /> ........................ <br /> ....................X.................---.... ,� <br /> .....................'-- <br /> Total ........................Sq.Ft. <br /> -- -- <br /> Remarks.................................... ........................................................................ <br /> .................................. ................. ........ ................................ .................. <br /> .......................... ............................................................................................. <br /> OrderReceived................................_............................................_._............ <br /> �Vork Completed......................................................................................... <br /> k'oreman <br />