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• �� <br />�� /�.� _ lt"� �'� <br />w. cr roar.: a - <br />C;.TY GF E`JERETT--Water Dept. <br />Application No..�...c:..�.0 `�. Date..._....�..::.�..--- ....................19.�c . a <br />` Install ...............................inch -,vater service pipe <br />..........r,_:...�.1 , r� c_i,..\... `:. . `-� ..................._.......... <br />For ....__ ............... Y . \L S.L�.4'... ... <br />\ :i ��� . �—.\��:_f..1.S..:�.y.�.\...---...._ Street <br />On ................................................. <br />LoL.........-- ...................................._......... Block No. ..........---.........__..... <br />:i�idition ................ .._.. ----- ........_......__......._........._....... - <br />c........... ....... <br />Remarks .. ......\�.1�.\7�.�..i��J:.:a:�.r..� .........................._--................ <br />No. '. Size <br />_........._ . <br />_..........._ <br />Superintendent <br />LABOR AND 11fATEF{IAL USF.D ��� � <br />No. Hours Labor.. <br />Cut in..........._.......F <br />Lcad Connection ComFlete <br />Saddle Completc <br />.. ....._......_....... <br />Service Cock <br />Scrvice Box <br />............... <br />_....... PI�C <br />.. .............-.........Sq. Ft. <br />.. ........................ �� <br />.. ........................ „ <br />Total .� ...................54. Ft. <br />__----`-------------- ---.< <br />—_' <br />Remarks ............ .. ............... _.............................. .............................. <br />_ f....� r <br />/'-=/ .� <br />. ... ... .�../.......�....�..................._........_ _................... ............. <br />_ ............... �. ��.. :.- �...1....-.. �.'...�.��....... ...........................- - - ..........._...... <br />OrderReceived_ ........................................._.........................._...................._ � <br />\Vork Complcled...___.._........_............__._........._....._ ......................_...... <br />Foreman <br />