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5 �-0ricbeU.}7.iJ 9B O�� s � _ <br />W. U. Form D. f <br />° ° ''CITY OF EVLKETT--Water Dept. <br />J '— � � c� <br />Application No...J :.�..�..,�... Date.�-.. �::.......:. .1� ....::.............19..... � <br />..-- <br />Install.......�.,! ...:::..........inch tvater service pipe <br />. <br />For................... ......................... .. .......................................................... ........ <br />, � ;. - <br />On ............1.:;:....1.../.....--�---�.!_ .......:.:.::._;'........_`.—�................... Street <br />Lot.............................................................. Block <br />�ddition .....................:..i..................................... <br />_ - -- ..............._.. .............. <br />, ' ' ..................................... <br />/ , ; r �� —<-.S — <br />..... .. _.......... _ ....... . ....... _. .:..... _ _,...-�- � <br />. ..... ...........................1... .. .. ...... <br />i , i/ r <br />" "'.... <br />� .... ................ .l._..'-.......... ......-.-•-'-.....................: _..............(....::....:....:_L..::."-_ <br />. _,�� Superintendent <br />r � �� <br />LABOR AND MATERiAL II9ED <br />No. I Size i <br />Lend Connection Complete <br />Saddle Compiete <br />.....i Scrvicc Cock <br />,....I Scrvicc IIox <br />No. FIours Labnr ..............................................Cost............ <br />Cut in ............._.....Pav nent..................X............._......... <br />._ =. ---_ �. , % %�/ X ........................ <br />%'`r- f' ' l r f�..F. ....... x ........................ <br />, � <br />7— "— � �' <br />.................... x........................ <br />�r <br />� —"`5 / � Total <br />P em arks.......... _. <br />............................ <br />Grder Received ............. <br />��'ork Completed.......... <br />.............. ..................... <br />......................_Sq. Ft. <br />� <br />........................Sq. Ft. <br />_ .:..............:.............- -......_._/' , <br />Foreman <br />., _ ._. ,--- . i <br />