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N.D.Form 7 1.�J '� � . <br /> 5.7.Prie6e r '� <br /> CITY ��'p�1ERETT--Water Dept. <br /> AFPlication No...----------- Datc------—---------�-__19---- <br /> Install..____. ____,___�nch water service pipe <br /> For --- -- �-- - <br /> -------—�- --- ------••----— ---•--------------- <br /> On.._- -------•----`=— <br /> ---- ---�--�-------------------�Street <br /> Loe._. ----�---- ._-� ------------ Bloel-Na.._ ._ --- ------- <br /> -'----- <br /> , Addition ---------- •---_------ <br /> ---- •-------------•----- -— <br /> -- <br /> emarks ___. _ <br /> ----------'----- ---— ---�—-------- --� -------- <br /> .. .--- �-----.. <br /> -------- ----' � �-- . <br /> -------- ----�---• <br /> • ---- —'— `-- <br /> . " svnerfn�en,ien[-- <br /> _ � . <br /> _._ LAF30R AND n{ATERI,4L USED <br /> _ No. Si.e —.—___ . <br /> ----'--"-"-' �—'--'--"-'_ Lce.d Connection Complete ' <br /> "_"'_"'_"_" "_"_""""_ Saddlc Complete <br /> .__'.�J_""'k. � � ""'�"__ . �.t"2/ <br /> _'_ ��""_"__""_"""Pipc <br /> _""'_' <br /> ' _"__""""" "_""_"'"'_ Seroicc Coe- <br /> .�.'. �.--_' / -"__'__ Scrvicc Box L <br /> " _ <br /> / �r � <br /> - __'-" '_3 LS_'t�.a__ �a-t_�_a"__�'_ � .�t � <br /> '_"_ �/� .t._�:[. <br /> '—','--'--- � � /, ���/__���_ 2` 'I . ' � '' - <br /> __ - - -- --- -- <br /> .'----' '- - <br /> S. _Y."f'rt_''_""""'"' <br /> �__.___ � <br /> __ __ _'__..__.__. <br /> _._'_"________________'_ __ <br /> _ ____________'_____________ <br /> ._____'_______ _'_'__ '______.I _______._ <br /> _______________ <br /> No.HaursLabor.'______'______"('Cosf�_�_�' �- <br /> . �""_"'_"'_""__'_"" <br /> __' <br /> uc m'_"_'_'_'_'Pavement_"____"_"X. <br /> '-'__.,'---- ----.-""'---Sq. Fr. <br /> �1, � rl �, . _"_"_' "_a __'_'_"__'_' .___'_""_"- �� <br /> � _ '.__""'_' ,. <br /> � /� __"'_""" <br /> .� - <br /> n . """"_""X_"' <br /> � '_'"""' """"__"_'_ �� <br /> n-{ �` Total ---'--`—Sq. Ft. <br /> Remarks------------------ <br /> -----------------------------—----- <br /> -- —-------- ----- - ---------�------------------------- <br /> ._-------- ------ ----------- ---------------------------- <br /> ------ <br /> Order Received __._._______ <br /> _"------ <br /> -- ---------- ----------- - <br /> Work Completed_ ______ ______ ______ __ <br /> --------------------—---- <br /> Partm¢r <br />