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- / I ',i� � � .. - _�' .S/.S�7 �' <br /> w, o, ro�w n <br /> CITY C�F E`JERETT--Water Dept. <br /> Application Nc..�..I..�'.'._`� .. Date...........''7.... � � �:..`.�.............19...... <br /> .......... <br /> Install........................ ......inch water service pipe <br /> For ....................�......... ............................................................-Street <br /> ¢ J....... . .- - <br /> J .7 j .L:.C�<.:'o �.`i-L�_a—... <br /> On .................................. .............................................---...... <br /> Lot.............................................................. Block No..................................--- <br /> :.�t.iition .................................................................... <br /> ...................................... <br /> Remarks .......................................................................................................... <br /> .......................................................................................:..................................... <br /> ...`��...�.�....0 U.Y""'........................................... .. <br /> . . ..; <br /> ......................... <br /> ... <br /> ........................... .......... / / -t:t1.� . <br /> ........ `........................................''..........._�c:a............. <br /> � _ �� _ 7� �Superinte dent <br /> ��-� ._ <br /> LABOR AND MATERIAL IISED �� <br /> No. Size <br /> .... ............................................ :,ead Connection Complete <br /> ..............._..................................... Saddle Complete <br /> ......................St............................ ........................................................................Pipe <br /> ..................................................... Service Cock <br /> ...................................................... Ser�icr. $ox <br /> .......................... .._....................... ................................................................................................................ <br /> ......................_... .........................� ................................................................................................................. <br /> No. Hours LaUcr.............................................Cost.................................................... <br /> Cu: in....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ..................... ........................ ........................ <br /> �� <br /> Total .......................£q.Ft. <br /> -- ---- <br /> Remarks............................................................................................................. <br /> .................................. ...................................................................................... � <br /> ............................................................................................................................. <br /> OrderReceived .............................................................................................. <br /> \4'ork Complete<1............................................................................................ <br /> Forcman <br />