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���! 3 - �- v� <br />w. o. ron..�. <br />CITY OF F.VERETT--\7Uater Dept. <br />. � , :,; . -• r <br />Application No�....._��.... �Date.....1 :.::.:.............5...............194�� <br />_ <br />Iastall.....:� ::... ............inch water service pipe <br />For........................................................:::...............:............,.:. . <br />r— � n' ._ ;- � � �. .. j .............."' <br />• '� ,. _'� /� � : .. . . <br />On ..............:.....�.......................... .. _5:�..�-.... •' ...C.l...... Street <br />� -'. ......._... <br />Lot.............................................................. Block No..................................... <br />^dilitian ........................... .............................................................. .......... <br />Remarks ............._:. / � <br />r�z.........................�.........�.......:.... ....................1........... <br />.-�, „ s / ,�-..`_ � ,. .,_ z.- <br />I.AROR AND MATERiAL USED <br />............_......'. Lead Connection Complete <br />............._....' Saddle Cpm�lete <br />�.. <br />...................I .._(-�1.�_i ..rt..;..:...........................................Pipe <br />�.:� ..:.............. Servic� Cock <br />.........:.........I Service Box <br />No. Haurs Labor ..............................................0 <br />Cut ir .....................Favement........_..........X...... <br />� � � ....................X...... <br />� � .....c :..............X....... <br />- ....................Y...... <br />Total <br />—__ L / i � '____.. j' _— <br />................................ ..... <br />........................Sq. Ft. <br />....................... �� <br />........................ .� <br />.......................� �� <br />........................."iQ. Ft. <br />................._.....,':',"_";"1_'..` .............................................. <br />......................... .......:.............:.:....:.................... .................................................. <br />OrderReceived ...................._......_...............- ............................._........._... <br />\Vorlc Completed..I..�..::...:.1 ....:.:...........:...._............:...:.......: .. ........... <br />FUreman <br />