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W. Vn Form 7 1'd i <br />S.. Priebe - s 6 0'd .J _ <br />CITY OF E`JERETTo-Water Dept. <br />COPPER <br />Application No.-------- --- Date ---------------------- 19-;_, , <br />Install .'.____`___c_____inch water service pipe <br />For <br />------------ <br />On ---------- <br />c .---- 1---•--- :------------------- Street <br />Lot Block No..- ----------------- <br />- <br />Addition---------------------------------------------- <br />Remarks ----------------------- <br />----------•--•-- -- ------- <br />----- <br />1 ;/1 - - - --•-•-Sdcerinro-ieet -' <br />LABOR AND MATERIAL USED i <br />No. <br />Size <br />_ <br />___ <br />________--- ___ <br />Lead Connection Complete <br />--------------- <br />--------------- <br />Saddle Complete <br />.____ �_�(__.__ <br />-____.____� r7 _ ___ G�.. ________. .Pipe <br />i_________ <br />.r--------- <br />� Service Cock <br />l__---_-._. <br />1-------- <br />i�xte.tii'L_ <br />.___/ L_______ <br />P <br />Service Boz �d-a----••r <br />_ _ _ ____ ___• ti___L_Y L-- Of� ------------------------------ <br />y <br />------- <br />No. Hours Labor -------------------- F- Cost.__.--v.-----------------n,_e. <br />s,: <br />Cut in.__________ Pavement ------------ X______________ _:5q. Fr> <br />----- X_------------- _____________ <br />n CI^----•------•X--•--•------- ------------- <br />Oy X-------------' <br />Total <br />Remarks ------------------------------------------------ <br />------------------ ' <br />i <br />Order Received ------------- -------------- <br />Work Completed --------------------------- •--•--• S' <br />Fo.aman <br />