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.. � .. �. \..V <br /> w. o. ro1ww � ' �� /�� , l.' � �� <br /> .ITY OF E�IER.ETT��`�ater Dept. <br /> ) - <br /> ApplicationNo..._�.��_��.�... �Date....�.�_::.'.`.t�C.......�_��19_�..Y <br /> Install.....-��.---.....---_..Lzr.h water service pipe <br /> For ..................................V�---.......... ......... ..,...... ...............----............ <br /> . <br /> On .......�..�....�...�............._..................:......... ..����.-=�.�Street <br /> Lot..................._........................._......_.......�B k No..._........_.._.._..........._... <br /> Addition ............................j...?...................................---...r........................... <br /> Remarks 1.` "Q�'L-�-=`•=:..✓_.`...`-�:-=�. <br /> ...................._............/�........ ..................._ .._...........•._....... <br /> .......... ..._..... . <br /> ............... ...........�.�.--......... ........ ._............ .. _... <br /> . ... . . . .. .. ..... .. ........._... <br /> �. ......::.. ....................................... ........ �.,........ .. ....... ... ..._...----............ <br /> --''��r l�c., -- /�i /�1 f ��.t-:.. <br /> _. .................:........:.........--- ..^. . - <br /> /-�....................... ................_. � <br /> / v ` (' / � Su rfntendent <br /> �.,-� �t2�LQ--� <br /> LABOR AND MATEftIAi. D6SD� <br /> No. Size � _ <br /> --- <br /> ................._........_......................... Lc:�d Connection Complete <br /> ...................................................... Saddle Complete <br /> .St. ..Pipe <br /> .................._. .......................... ...................................................................... <br /> ..................................................... Service Cock <br /> ............................................... Service Boz <br /> ................_...._.. ........................... ......................................................................._....................................... <br /> No. Hout:� Labor..............................................Coat..........................._....................... <br /> Cutin....................Pavement....................X......._......_....... ........................Sq.Ft. <br /> .........X..........._.._. �� <br /> .......... ...... ..._.._............... <br /> ....................X.............._....... �� <br /> ........................ <br /> ....................iC..........._........... .. <br /> "...................... <br /> ---- , <br /> Total ........................Sq.Ft. <br /> r � ;, r .ti �__ <br /> Remarks............:............................ _. ..............................----......................... <br /> 1 1 , <br /> . ..............:....................................`...............................1......;y+......j....�.... .. <br /> , �� .. t v <br /> ......................................................................................._�;�..... r.j..................... <br /> OrderP.eceived....................................... ......................'............................... <br /> \4ork Completed........................:....................................................... ...........� <br /> Foreman <br />