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W!i[� Form J 1500 3.I-17 C. P. y O <br />CITE' OF Fi ERETT—Water Dept <br />Application No. _�%&'_gp_ <br />Install _____�tf <br />.... inch water service pipe <br />For-_ <br />~f <br />On----e:Eo/ a Street <br />Lot 13-; ---------- Block No.---4..4_-I — — <br />Addition-____ OeL_f �_ _ -------- <br />Remarks---- -- -------------------------------- ------ <br />----- ----------/-Jam-----`----- ------ <br />I_AUOR AND MATERIAL USED <br />NO. <br />----- Lead Connection Complete <br />ngilete <br />-----------y_. Service Cock <br />----------e _._ Service Box <br />____----------- I.----------- _ _ _ _ _ __ --------- __ ..___. <br />No. Hours Labor —.--_--__4t_.. ------ cost ---- 3 ------------------ ___ <br />Cuts in__________ --- Pavement---------- X-------------- __------- Sq. Pt. <br />X.----- ------ ,. <br />X.............. _ .. <br />Total, ------------Sq. Ft. <br />Wram(. zd4�/ �63 --- 9Gs------- <br />---------- - - - - -' -------- - - - - -- - -- -- ---- <br />Order Received ------ <br />Work Completed - --- - ----_— - <br />