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i <br /> l <br /> � s"3 3 0 ����� <br /> w. o.. r <br />' � � CITY OF EVEIZETT--Water Dept. <br /> :. Application No.�:.:.'.:?•R L'. Date...._�5.�....._�_...........................19..�'��. <br /> 7n:ta11....7..............� inch water service pipe <br /> / <br /> For .......:s.c.t.:✓x.�:... _�:...:a.c.c.r..l�...................................................... <br /> ';�' On ............1..�..�...-�1.�:�;:.�!�.k:r.:<<<.'':......._....................... Street <br /> __. , � <br /> �` '-� � .c_o <br /> , <br /> � , <br /> LoL..::.._��i.... ./.`.::i�.�"/..._.................. Block No....--.............................. <br /> ' ,� - ' A�9dition _....................... ................................................................................ <br /> r <br /> Remarks .......... ....................._................ <br /> ....................................... <br /> . <br /> . <br /> . � <br /> . ......._...................... , ,, c. , . - <br /> ...............�.....,.z.,,...t...a_-..:....�..z_:......---................------- <br /> . <br /> ,: : ...........................................................................................................----............. <br /> -..: <br /> •.:� ............................................ .............................................................................. <br /> (� ........................................................................................................................ <br /> ',z , <br /> " � • ' � � � . Superintendent <br />� -'i � - . . .. . <br /> ,�,� � . . _— __ <br /> LABOR AND MATERIAL USED <br /> Na. � Size I <br /> ---- _ <br /> ......................................................I Lead Connection Complete <br />. ............................_........................ Saddle Complele <br /> .......................ft............................ ........................................................................Pipe <br />, ........................................... ....... Servicc Cock <br /> _ - . ..... ............................................... Scrvicc Box <br /> ....................................... <br /> ......................................................� ......................................................................................._....................... <br />� No. Hours L�bor..............................................Cost.................................................... <br /> Cut in....................Pavement....................X........................ <br /> ........................Sq.Ft. <br />'� ,� <br /> ...................X........................ ......._............... <br /> ....................X........................ �� <br />� ........................ <br />� ....................X........................ .� <br /> ........... <br /> Total ........................Sq.Ft. <br /> ----- ----- - <br /> Rema rks............................................................................................................. <br /> ............................................................................................................�--�--........... <br /> 1 Order !Zeceiced ..........................................................._......................... ...... <br /> \Vork Campleted........ .......................................... ........ ..._........._......... . <br /> Foreman <br />