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S. . P iebe 3 6AO14 <br />S. ]'. Priebe <br />CITY OF EVF-RETT--Water Dept. <br />App!icanon No ------- --= -- - Date.. ----- <br />---19--- <br />InstalL_-__. -_-- . -----inch water service pipe <br />For--_ - -------------------- <br />On L�� l---------- --- ------Street <br />Lot------------=-------- Block No--------------- — ----- <br />Addition------------------- <br />Remarks ----- ---------------- <br />------------------------ <br />------------------------------------ . -------------------- <br />... --- ----------------- �. - <br />7 7 <br />y <br />/ __, �. <br />-- <br />Suo�tntendent <br />' cLABOR AND MATERIAL USED <br />---.________- <br />Lead Connection Complete <br />Saddle Complete <br />............... <br />��� <br />J/J�� y�y"----- ------- ---- --------Pipe <br />3• <br />Service Co�L: <br />Service Box- <br />---------------------- <br />No. Hours Labor___________________ Costa '• ---.---.-..__--_-_-_-._-_____ <br />Cut in ------------ Pavement ------ .___._X.------------- ---------------Sq. Ft. <br />..._.... _. _.X._._...------- -------____.- <br />X-------------- _______________ <br />p „ <br />Total -------- .. Sq. Ft. <br />Remarks------------------------------------------------------- <br />--------•--------- <br />--------------- --- <br />y:., .----- <br />Order Received.. 3:FEf ---------------- <br />Work Completed yq.i-- <br />a- - ------------------ -- <br />� Forcm�n <br />^ i <br />