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����� � � <br />9. J. PqICBE 'IM i3 �'J � <br />W. b. IORM ] <br />CITY OF E`JERET7'--Water Dept. <br />_� �� - �^� / / <br />Application No ............:..... �ate........::-r�.Gl. /L(..._�...- ....;9.``:./ <br />r.—c�,(�� 7nstall ............................:..inch water servir.c pipe <br />For��.�..:'_:.�` �-_........-- .. p . .. ... <br />On ....... � ....................._ ... _4��'.LrC..`-'�/c,l. Street <br />............. ......... .............. .... . . . <br />........ ... <br />�.. ........... ... .. . ........... <br />Lot..........- .........................................-• - Block No................---.. _....._._.... <br />"' Addition ............................_......................................................................... <br />,. , -., . . � - Iiemarks ....--�� ............... .._---..............._........._........_..........---..........._--.....----.. <br />� .., � .'; � ................._.........................................................................._ _.............---............. <br />.. .---.... ............................__............------...............-----....._..........--`•---........._....... <br />............................................. .....�----........_.........................._............---...._........-'--'- <br />Superintendent <br />LABOR .1ND 1VfATEFtIAL USED <br />..............................._....................I Lead Connection Complcte <br />...........................,.......................... Saddle ComPletc <br />.......................f t. ...........................I ........................................................................Pipc <br />...................................................... >crvicc Cock <br />...................................._......:......... Scr.:ce Box <br />...................................................... ................................................................................................................ <br />No. Aours Labor .............................................Cos[................................................... <br />Cut in.........._........Pavement......._...........X ........................ <br />.............--.......Sq. Ft. <br />....................X........................ �� <br />........................ <br />...................X........................ �� <br />.......... .............. <br />....................X........................ „ <br />....- .................. <br />Total ........................Sq. Ft. <br />-- �-----�-----�----'— ----- <br />Re m a rk s ............ ................................................................................ ........... <br />OrderF�eceiced ........:................_......._.._.......__ __...................................._ <br />�VorF: Completed ............._........._..................._........................................... <br />Foreman <br />