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� <br />5�..���.:,�,.,�8 � 7 .. l� J�.� <br />w. o. Fo.� a L <br />CITY OF ERETT--Water Dept� <br />Application No.....�..�..�-•6_- Datef .................---...--._��...19: <br />For <br />On <br />water service pipe <br />�}::�:�.�...��......... Street <br />ElockNo ..................................... <br />Addition................... .............................................. .................................... <br />Remarks .............��..r..r..:s.. ........... .... -�^..-J.......... <br />....... <br />.. <br />.._....._�.�....... �?a.......�.�.:�� .............. ..................... ......-�----...... <br />---- - � ............................. <br />LABOR AND MATERiAL USED <br />I.ea3 Connection Complete <br />Ecldlc Complete <br />Servicc Cock <br />c<rvice Box <br />No. FIours LzUor ..............................................t;osc.................................................... <br />Cutin ................... ?ave:nent....................X........................ ........................Sq. Ft. <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />�� <br />.............. .....X........................ ........................ <br />�, <br />Tot:�l ........................59. Ft. <br />-------��- <br />Remarks..............._..................._......._ ..._................................_.................... <br />-- ................._..... .........._............................... <br />..... ....... . _.. _.............. <br />Crder P.cceiced ............. <br />\'vor}: Comple.ed......... <br />r <br />...-�---.... _ ........................_....Forema� <br />