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N. D. Form ] 8 <br />S. J. Nirba g <br />CIT Q ERETT--Water Dept. <br />4AW, PER <br />Application No------------ Da.- ---- -------- '------- 19---- <br />Install,•-_-.inch waterservice pipe <br />For .............. <br />/Ac;C.'`_c-•-----------' <br />i l7"--- --' - - <br />On----------- Street <br />1 3 -- <br />Lot 'ff Flock No.. - / /� - ----- <br />Addition.I- -- -- ---------•------•-•-- <br />Remarks ........ <br />®darn <br />----- -------------•-----•------ <br />• /.7_ <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />-------------------------------------- Pipe <br />Service Cock <br />Service Box <br />--------------- __________________________________________________________________________ <br />No. Hours Labor ---------------------- Cost .___-•-__--___-__•_____--_----.._--_ <br />Cut III ------------ Pavement__..- ------ X............................. Sq. Ft. <br />--------------- <br />------------X_____________ _______________ •• <br />Total .... .---------- sq. Ft. <br />Remarks - - -- . _ <br />- ---------------------------- --------------- <br />Order Received -- ------------•-------- <br />Work Completed ------ ------------- eo.00�' <br />