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w• n. r� -e 170 <br />ta G I <br />s.1. Frie6e <br />CITY OF EVF.RETT--Water Dept. <br />COPPER I <br />Application No-------.---- Dat'e---------------/ ��__�19____ <br />InstalL . _ _ _ _, :: --'-,..inch water service pipe <br />1 r <br />For---i'� k �},•1_t ( .lee`-'--'-•------------------------- <br />On..=i " ------------ ------ Street <br />Lot-------- - - ------------ Block No -----------------•----- <br />Addition.- -- ---- <br />Remarks ---------- ---------------------------- <br />--------------------- =1 . --- <br />-------------------- ------ ----- --------- --)--------------- <br />------- ------------------ - '- -- ------- <br />$vnerinMlit'nt <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />_ _____ <br />__ ----- <br />_ <br />Lead Connection Complete <br />_______________ <br />__•___-.It__.-. <br />Saddle Complete <br />....................... Pipe <br />._--—__.._-__• <br />--------- ___--- <br />Service Cock <br />--- ---------- <br />A It <br />--------------- <br />�7.. <br />Service Fox �} .7. <br />. ___ <br />�rt-.c.r_ �__�2ra_ <br />a <br />No. Hours Lauor-------------------- � Cos[. _.J_ Z/ ___.____.___________..__._._ <br />Cut in ------------ Pavement ............ X-------------- --------------- Sq. Ft. <br />------------ X.__----------- " <br />ya............X------------- •-----•-------- <br />�tI L X......----•--- <br />��� 1�'��•t Total ____Sq. Ft. <br />Remarks----------------------------------- ------------------- <br />------------------ -------------------------------------------- <br />------------------------------------- -------- <br />Order Received <br />Work Completed-------------------------------- -------------- <br />Faremon <br />