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- �_- <br />k.J. IIU[t[ i � 8� � � �. � r' <br />w. a rpr� a� �, ? d, <br />` CITY OF E�ER�TT--Water Dept. <br />Appllcntion No....... l..u2.�.%.. Dat9c.......... �� ..... .'� .....1fl.S�%' <br />� Install.._.:_.—'.�1..��_...._. 3nc'6 water service pipe <br />For............:��� L.. �: ��r '..._............._...........__.................._. <br />On ..................._........�.�_'.�._.._.... a�..�CnFc�................___....... Stteet <br />Lot..................._.............••-............_..-••-•.. Block No_.._.._....._..—•-•_..___ <br />Addition..................................._........................_....p�......'/.........} <br />fiemarks ��'.�z..e.<.�k:zx..L'..1._....-.....�,l.�nci.r� /'............ <br />......... .... q ` . ...... <br />_ ...... <br />L(-!F(!.?1s.L �r.eC. � —' �/if <br />L,1BOA AND MATEBIAL IIBED <br />Size �__ <br />......_............ � Lead Connectioa Complete <br />..................._ Saddle Complete <br />�..:. _ _...... _..... .. G.: r_ a ........................ _...... _.... ---........... _.. _...P i p e <br />'' � � ............ Scrvice Cocl: <br />........ <br />.................... Service Box <br />No. Hours Labor ..............................................Cost.............._.........._....................... <br />Cutin ....................Pevement..........._.._...X.......----..._...... ......._...............Sq. Ft. <br />. i . , , ...................X.._.........._._.. ......._.........._. <br />.. �� <br />_ : �� <br />; .. � , .. ...................X..................._... ......._......_.._. <br />� ...................X....................... �� <br />. - , . . � Totai ..........._...........Sq. Ft. <br />----- <br />Remarks................_ (_..................................................................... <br />............................ �1.....�.`_�-:..1.. f�. <br />......�...... . f � <br />. . . � .1 :................................................................/ <br />/ / <br />OrderPeceived .....................................................................................�..... <br />, ,. ; . <br />\Vork Completed.:I...:.�:c ..:...:..:..........................:. i,.7.�...I:..:._..:................. <br />Foreman <br />