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lyn22B 7�% � ✓ <br />w. o. ronrn a_ ' _ ��� ��" l� / <br />CITY OF E`JERETT--VJater Dept. <br />Applic�tion N6..�1 7.f� i 1562 <br />_.. Datc.....__.:' ....................................19...... <br />Install............ /. .inch water service pipe <br />`� �i - � .........:.... l <br />For I..i.�C � ',C S�YI...._.� ��'.:4 �'��" ................._..._......--Street <br />... <br />o„ .... ::5.. �-.. i.. ...- _.;z::.�� ................ ........................................ <br />Lot.............................................................. Block No..................................... <br />�d�.iition ........................................................................................................ <br />Remarks.......................................................................................................... <br />............................................. . _...........................................................-------....---- <br />Superinlendent <br />LABOR AND MA7'ERIAL USF.D <br />No. <br />.......................................__.._.......i :.ead Connection Co�nplete <br />___ ................._......................._... Saddlc Complcic <br />.....__ _...........ft ............................ ...................................................._._............. Pi �c <br />....._ ............................................... Sen'icc Cock <br />..__---- ................................� Scr�icc Box <br />No. Homs Labnr__ .....................__...............Cosl._................................................. <br />Cutin..._..........__I`avement._....__.........X ........................ ........................S9.Ft. <br />....................X....._.................. „ <br />........................ <br />.................._X..........._........... �� <br />......... .............. <br />.................._X........._............. ........................ �. <br />Tolal .... ..._ Sq.Ft. <br />._______ —___--_____-- _ _ <br />Remarks......................................................................................_ .................. <br />/' <br />Ordcr22eccit•ed ............................................................................................ 1 <br />`Vork ComplMrd__....._.........._ _ ..._ .. . . ....___ ..... ..............._...._... _. <br />Fareman <br />