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. ; � , <br />� � � � l, ��J- � �' / t/ <br />w. o. roa.� �,� � ' <br />CITY OF E`JERETT--Water Dept. <br />, . � �; �.,� . <br />> 7/ <br />�� `' . Date ............._............._.............._.19...... <br />_}�}:eM�ii�n No..._�.. ........ <br />� Install . ............... ._ ....... .inch water service pipr <br />F L.�.C..C._'...,.:.':.. ����-C.,�_�:.<.:.C�.-! ............ ............. <br />............. <br />� — � ��l / ............................. Street <br />o„ ......._:,.�: [`1....1...........� ..............._........ <br />i.�t ................._........................................... s����: rro..................................... <br />.�ddition _ ................................._...................._......._...................................... <br />l�cmarks .......................................... ............................................................ <br />_..... ._...... <br />_ ......................__......._............. <br />_ . _ ................ _ ............................... <br />...................._.............. -- <br />� �"��"'"�""-�� """"' ���� Superint�ndent <br />. _ .... .................. . <br />LABOIt AND 11tATERIAL USF.D <br />No. _ ' Sizc - — - <br />.... - --- ------ <br />---""- ........ � <br />--- <br />......_ .................. . <br />..... <br />.,.. 'I Lead Connection Complcle <br />........................' SaddlC CmnPlete <br />.._........._ ............._ _._._................._....Pipe <br />....................... <br />. ........................... <br />............. .......... <br />___........... <br />. . ......................... . <br />_ ..............._....... Scrvicc Cock <br />.......................... Scrvicc IIox <br />_..._ -- <br />No. Hours Labor .................._.........._........_.._Cost..__.............................................. <br />Cw in............__..Pavement_............_....X ........................ ...................._..Sq.Ft. <br />................... X........................ ......._............... <br />.� <br />....................X...__................. ......._._...._.. _. <br />�� <br />....._ .............X....._................. ................. _._. <br />�� <br />Total ..__ .............. .59. Ft. <br />---�-----=—�__ - -- <br />— ................ ........... <br />. ................................................ <br />Rem arks ............................ . <br />_.......... _ ....... ............................................. ............. <br />.............� <br />_ ....... <br />. _ ................. ... . <br />Order ?i.eceiced..__..._.........._._.._ ................._.......... <br />. .._.....__.._.........__. <br />\Vork. Comp)cled.__._._......... _ <br />_... .. . <br />_.._.... Foreman <br />