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N <br />S. J. Priwebe <br />CIT ,^ 7�F_-F ERETT-'--Water Dept. <br />Application No.--. --------- Date _ ______________.-_l9____ <br />install.. _ -:- _ _ _ ..--inch water service pipe <br />For -------�� � /J <br />On-------- ------- Street <br />Lot ----------- --_----------- BlockNo... <br />Addition-----------------------------•---------------- ------- <br />Remarks ............. <br />------•---------------••---- — - ----- -- ----- ----------..--- <br />- <br />LABOR AND MATERIAL USED <br />-- No. <br />Size <br />-- — - <br />_ <br />____________ <br />_______________ <br />Lead Connection Complete <br />_______________ <br />----�2"----fr. <br />______ ____ <br />...... '.-=---- <br />Saddle Complete <br />------- ----------Pipe <br />v <br />--------------- <br />Service Cock <br />-----`--------- <br />.-- <br />----- - ------ <br />Setvisc B/o'x /� A <br />Q_._Lc.f�!L�A.S T.- -= -- -- - --g-:---------------- <br />------.. <br />--------------- <br />- „/... - <br />-------------- <br />��. X6 -_ge ---------------------- --- <br />� e.<~, °.¢�,-I------------------------ <br />-------••--------------------------------------------------- <br />No. Hours Labor ______________________ Cost ..__-._--.___-__-_-_-_--__-___-___-_ <br />Cut in.._._ -.Pavement._--.-__..__X. ............. ............... Sq. <br />^,+Q ! " t. <br />d--X______________ <br />TY� . 3 ---•--... X --------- <br />-,. 3 X------------- <br />Total ---------------Sq. Ft. <br />Remarkstr-••-----------------------------•------- <br />a.. _.��----------- <br />Order Received --•----•--•----•------------------•------------- <br />Work Completed ------•- •--- <br />c:rem: <br />