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�t��'��� ? <br />w. o. ronM a �/ s /_'/ C� �-�' <br />C� T <br />' CITY OF E'JERETT--Water Dept. <br />Application No./..:!:�-::�'�...... Date.........-=L.::.i..::.G: .� ...............19---- <br />Iastall .............................. .inch water service pipe <br />For................ .............................................. ..................�--..................... <br />, „ . . <br />On ........_._�:.:!_l.5:�_....;!._:C_L:Ls::.`_%.:.._l.�:!c�.�.c.,:....l.�L ..:.......... Street <br />Lot............................................................. Block No.............---�--........._...--�-- <br />. Addition .......................................................................................................... <br />� Remarks ..................................................... ................................................... <br />!� <br />...............!...: �..:. .,.................................................. --..........................-�------.. <br />' . ��, `� <br />'Ns. <br />Size <br />LABOR AND MATERIAL USED <br />:.ead Cormr.ctior Complete <br />Saddle Comp. _.r <br />.................................................... <br />Servicc Cock <br />Ser:ice Box <br />No. Aours Labor ................... <br />Cut in............_......Pavement <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />...................: X........................ �, <br />........................ <br />Total ..............._.......Sq. Ft. <br />---- <br />Remnrics............................................... ...._......._........_...._--- ......-- .......... <br />.......... .................................. -..... - _ _ <br />Or�'er Received_ ...................................................................................._....... l <br />\Vork (:ampleted ........................................ ................................................. / <br />Foreman � <br />