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W. 1). Form I u8ob <br />C-11-Y OF NV, ERETT—Water Dept. <br />Application No. <br />D;Iite <br />Install An service ter seice pipe <br />On.. Street <br />Lot No. ........ . ........ . <br />Addition. .... .. ........ ... ... .. . ...... .­­ ..... . . ...... — <br />Remarks ...... _. .. .-- - / <br />LABOR AND Mt rERIAL <br />No. <br />Size <br />Lead Connection Ce-, 'plete <br />Saddle Complete <br />0 ft, <br />........ .... <br />tf�__ Pipe <br />Servict! Cock <br />Service Box <br />......... ..... <br />............ <br />—No. Hou" Labor ...... <br />. ............... .. Copt <br />Cut In..........._.....__.... <br />Pavement .... .. X <br />Ft. <br />X............ ........ . ... . ....... ...... <br />X.... . ....... <br />Total ........ . ------ Sq. Ft. <br />Remarks- ............................... .', I .. .... ­.... . _ ...... ........ <br />.. ..... ... . ... ....... . ........... . ..... <br />.... .... ..... . ...... <br />Orde: Received I.. -------- ... ... <br />Work Completed ..... ........ . .. ....... <br />