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� i�/- v � <br /> . -/ 6 / 72 � � � <br /> .. o. .o.� <br /> CITY �F F.VERETT--Water Dept. <br /> , , ,� , � � , <br /> /U i � . . ... .....is..� <br /> . <br /> Application No............_...._ .: Date..................:....... .... ....... <br /> Install........L...:.:............. .inch water;ervice pipe <br /> , �' ,- <br /> „r/�.r..t<_...�...�..t�...:.._ ,t . ... <br /> For..r.���..L..�-......... �............................... <br /> o„ J �'.,t:1„?...-..�..:.�`1:.....�:.<_>-:..:............_...... scr��c <br /> .................. <br /> Lot........: .........:_ .......... Block No.............. t <br /> ........_........ <br /> ............................ „ <br /> , , , . . <br /> Addition �_:::•.�__.1.�j.....r�._.,�....�-.....r.....;��5.[:...r.....G.....ii..�...�..c... � <br /> • , . : i - <br /> Remarks ..:.�......:�4=............................... <br /> _t t.t.�,r,r.�.�,.,.<..!_r.............::.: <br /> ._...........................�.....(.,rr-�.................. <br /> .!.................... <br /> ....................................... <br /> ::................. . .......................... <br /> /. .�..(� ...... . <br /> ......... �.�................ . T . <br /> ................. . r� 5 ,..�:.� ..,........... <br /> ... .. <br /> _ ,. , . - . . � <br /> . ` _ .._.� -� �- <br /> :c.:z.......................................�:,�.,,..�...1. / <br /> .....�............ . � <br /> ..........................."....................................................... <br /> .__....._.......................... / .$uPerin�endent <br /> �,� � i � , c. _ <br /> LABOR AND MATERiAL USED <br /> No. Size � <br /> �_— <br /> f ....__.(_.:..'...:i..�.... i Lead Connection ComP�ete <br /> ..__.........../.........:::..::.L.�..ra.,..��..i Saddlc ComPletc <br /> ' . " _..._............__..............._..__Pipc <br /> ....._...../..:..._ft...........�........_.._. <br /> ._..__.........._... <br /> ��. �..:.,;,..�:...... ScrviceCock � <br /> .............. ................ . <br /> L........... <br /> ._:...�...t_L.�.,c.:.:.t: Ser�ice IIox <br /> � i '_4.::..::...:.... <.__........:._..:..............._......_......................_....................._..........._.... <br /> ............:/............{.... , <br /> . . .. . ....../........_f......_......... ................................. <br /> .. <br /> ............ ....................................... , ,. <br /> . ............ <br /> :,..t.l:....._�...:.........._..___....._............- <br /> No. Hours Labor <br /> .........................................Cost................................................... <br /> _ . . . . .................._...� Ft. <br /> Cut in..._..._.........Bavemcnt......._...........X................._..... . 9�� <br /> ....................X........................ ........................ <br /> .................._X........................ -....................... <br /> �� <br /> ....................X............ <br /> ............ ........................ �� <br /> Total ........................Sq.Ft. <br /> __— --' ' <br /> . . ......... <br /> , . :...........:........._............................. <br /> Rem arks.........:...................................... <br /> ................................................................................... <br /> Order Received.........:.:................:......:.:........................................................ <br /> ....:.::.................:...'..::..:....�:..::.....:�,..:.:_. � <br /> \Vork Complcted_.....�.:...._-_�..._. Foreman <br />