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W. n. Fmm l I'A 3 _ _ <br />S.1. &iebc J 503,CITY ��_F/PE ERETT1--Water Dept. <br />�P t( <br />Application No. .. � S C � i lla � 9 19. `:. <br />nstall.. _ _ the water service pipe <br />.. <br />On--------•--•- --•----•------••--- r...._.---- - _-Street <br />. <br />Lot........... a/ ry-B1ockNo..•....._7_/ <br />Addition._../` n___�4_�- /��e-r'_.✓Y� <br />ema�rks . / t7C c J C-e -t L4 _f' • <br />ham_ {�� <br />................ <br />Suparintenden� <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />------------- <br />__---------- ___ <br />Lead Connection Complete <br />_........ <br />_ <br />Saddle Complete <br />8..._ ft..---•- <br />.... '- <br />--.L�[^.�Y_'�u-t' --------------.Pipe <br />_.._j-....... <br />. �.. _. _', -_ <br />Service cck <br />------I-------- <br />------ --)~.._ <br />Service Box <br />---•- -------- <br />-•- :r--------- <br />-�-`"--�,-I'----------------------- <br />- <br />No. Hours Labor____________________Y Cott} _____..___...-_...____-___. <br />Cut in ------- .---- Pavement ........ ........ ............. FSq. Ft. <br />._ ._X______________------------ •� <br />._._X............. .. <br />Total ......... Ft. <br />Remarks-_-- ---t -- • -- -- -- <br />------- --- -- ------•-----_ -I------------•---- <br />----------------------- <br />Order Received <br />Work Completed ----------------------------------------------- <br />