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i: s reitl� a r 1 —v C. �i/� . <br /> w. a ro�a a�� � � <br /> CI�� ��� E\/ERETT--VUater Dept. ��''�—� <br /> (, �, _ <br /> Applic.ation No...f�..c!...��::i.... Date ........................._6 ..�:7:---.19�.�� <br /> � Insta !...'.......!���-•inch water service pipe <br /> ) <br /> For .....-----.......�.�.�ti.. '....S..d:S/,.��'�.... .LL!fL?<.t2:.................................... <br /> On ..................:.�.�1..�.�.7.._.:ic��::-`.'•................................ Street <br /> Lot........................................................._... Block No.......--••_----.._.............•- <br /> Addition ................. <br /> �_... .......... ..................---................... <br /> �............................ / <br /> Remarks .;�.�4:�r.1....(r .....����..:4.4.( <br /> ..................................c:.:�.::,�..�.�-�-2.....-.............---...�................. <br /> .................................................................................................�-�---............---....... <br /> .... .......).....�(��/y/� �- <br /> .................................................................................................. yl1/A X La/I�J <br /> �7 <br /> .........................................�---...............---................................Superin dent <br /> ��i�� <br /> N <br /> LABOA AND MATERIAL IIBED <br /> No. Size � <br /> ._....................................... Lead Connection Complete � <br /> . .............._ Saddle Com�lete <br /> ..................................... <br /> .._..................St. ..........................................._..........................3iPe <br /> .......................... <br /> ........._.......................................... Service Cock ; <br /> .._.................................................. <br /> Service Box � <br /> No. Hours Labor..............................................Coat......................._........................... <br /> Cutin....................Pavement....................X......._............... ..................._...Sq.Ft. <br /> .....X....................... �� <br /> ............... ......._......_....... <br /> ........X..............._. �� <br /> ............ ...... ........................ <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> ----- ,. . , .— <br /> „ , . <br /> �....:..........�.............:...:....................................:..... <br /> Remarks......�.��.,1.....:......:.. • � <br /> .............................................:...................:.................._......,..............._............ <br /> .............................................................................................................................. <br /> OrderFeceived.......:_............................:...............�--.................................._.. / <br /> \Vor�_ Campleted...�.'�.:._J!..1..:.:.._::.'...<:.................................................. <br /> Foreman <br />