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Cl�D P�H7-4519tl�/ Q� :✓_L- ✓� i� t:!� l2�v J <br />`i ��i% <br />' CI O� ERETT--Water Dept. <br />Application No.._.I...SP �..7.. Da� ..........................._...`��_ /�.....19.�/ <br />In�tall....� ... � ..1..:!......inch water service pipe <br />For ..............��.�...._4r._�...._��:"..-ti-� . ,..,�✓ <br />_ <br />� . ..............................•••-..-•---....._......... <br />On .............�.�.2.-�•`---.......Si:ca :'.::,::.`.c:�.-.?..'�...--�----............... Street <br />Lot .............. <br />Add' ' <br />BlockNo........_.........._ ............... <br />ition..................�--............. ---............................................---••--•--............. <br />Remarks ............i:�.i�-'.:._t.:�.::.:..:!,....:.�.�--•--�...._---......._ ..................... <br /><. <br />� �i.R �'' ................................................................................•-•---...---•................... <br />� � �"......................................................... ................................................._. <br />.....-••• <br />���__ <br />I l �V <br />LAB06 AND MATERGtI, USBD <br />No. I Sizc I <br />Lead Connection Complete <br />Saddl�Co lefe <br />........ ..r."ry�''C�:L...._ ...........................Pipe <br />Servic olk <br />Service Hox <br />No. IIours Labor .............................................Cost................................................... <br />Cuiin ....................Pavement....................X........................ ........................Sq. Ft. <br />...................X..........._........... �� <br />....... _ ............... <br />......._...._ <br />_. X_ _ �� <br />....................n........................ .� <br />.. ..................... <br />Totat ....................Sq. FF <br />------ -------- ---. : <br />Rema rks ...................................................................................... ............. . .... <br />Order Received ............................. ............ ................................................. ' � <br />............ .....�.... j� . ./ I <br />',Vork Completed..�...r._ _c�...._-....._-r�. ._.1�`L.� � ..:;...:.`ttr;t�o. <br />Foreman <br />