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S. J. Prin. rurm 3 t�7ti li <br />S. <br />ebe Li4 <br />CITY F EVF,RETT Water,Dept. <br />&PPErl <br />Application No. ----------- Dat <br />,f Install ------ ... inch ua <br />ter service pipe <br />For <br />On- <br />- Street <br />Lot ........... <br />- ...... Block No.._._._.. <br />Additivn _ <br />Remark : ---••--•-•----i <br />------ 11....... --.-'--.---.-----•--------------------------- <br />---------- <br />- <br />LABOR AND MATERIAL USED' <br />_" ... ............... Lead Connection Complete <br />------------------- Saddle Complete <br />e <br />-- Pipe <br />------------- -- ----•------ Service ock <br />"----••-'••-- .--- - Service Box <br />---- --._. _---:-------s7...... ... <br />--------------------- <br />No. Hours Labor .............'-"- 9 _Cost._ ____ <br />Cut in......_.-_._Pavement.._._....__.X____________ _ ............... <br />' _Sq; Fr. <br />7 D 0 --------------- <br />x-------------- __ _ .. <br />j1 Total <br />Remarks _ _ _ . - _ • _ • _. — <br />----•------------ ---------------------•--•- <br />------------------------------------------------------------- <br />Order Received <br />------------ <br />Work Completed_.__-_-__ <br />------------------------- <br />-----Foramon �- <br />