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s J.�,;�.t��n,-as zess� /V �� ` • ✓ " N <br /> W.D.1 orm J <br /> CITY OF E��E�ETT--Water Dept. <br /> ; . �; ; r� . -: ,s. . ., <br /> Applicatio�i No.._,.:...��.r......... Date_......i.... �-.........._.......--...19.--.. . <br /> (/ . + Install;.,/.'`'..^...j............inc�h water service pipe <br /> For .....� ..:.. ....... . ...__ 5.�......---.-. .... ..........••- <br /> ' '' �i � " '' - � Street <br /> On -�-�---._,......i...{.......f�-�--...__........:. .. :...........:........... .. <br /> . ... .... <br /> , .: 1 ,/ ,:, : ,� <br /> Lot. .......Gn....�....'_':..°�+......:............. Block No......:...:::_i:......:'..........._. <br /> Addition ....--..........._.......... ..........- .....................--� ......---................. <br /> ' , .. ''... <br /> P�emarks ................... .-::..—�----.-.:..:c.....r...:----�-....--•-_..-----...__.._......_- <br /> „ � <br /> --�. <br /> ._S',.. •.^ , <br /> , . ._.....__...... <br /> ... .7...ir.....�#:_,..._---............................ ............. - ..........--- <br /> ............................ ......................................................................................... <br /> ,�.�..-.-...:�.-��'.........................�.:......�.:......:.:...._:....._..-���-----................ <br /> , . . <br /> /.'.� � "' ; � ` ; ' <br /> ............................................... <br /> F ---...............�-'•:....;--..... ...................... •--- <br /> j Superintendent <br /> LABOR AND TIAIERIAL USEll <br /> No. I Size ' -----— — -- <br /> .... _.. . �. ........................��i Lcad Connection Complete <br /> .................................................... <br /> .I Saddle Complete <br /> .._...................it............................ ........................................................................Pi pe <br /> ...................................................._I Servicc Cock <br /> ............................ <br /> . ..........__.. ....... Service Box <br /> No. Hours L^Uor..............................................Cost.................................................... <br /> Cutin......_........._^nvemcnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> .....X........................ �� <br /> ............... ........................ <br /> .......-�---........X........................ ......................... :. <br /> Total ........................59.Ft. <br /> ------- — . .� � _ �— <br /> . �� � , <br /> Remarks�.....�........::�.........:.....::......:.......:.::-- .._... -_..... ................ <br /> ................................................................................................ .................. <br /> _......._...... ....._.................................................................. ..................-------- <br /> Order Receieed........ ../...........�....._�.�.'............. ......'._'�...:._ .�......- .....:.. <br /> \'lork Com�leted....l..�.�.�':. ; , �...:.....'_....:...:.::.:. � <br /> F ......r....ti......................... Foreman <br /> } . <br /> � : <br />