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W�D Porm�)+�94� �3 ., �� �/�� V <br /> CITY OF E�RETT--�JZlater De� t. <br /> APPlication ATo..I..�.�{�3 Date ......_.........................:...���19:�.� <br /> n. �f � <br /> Install..........}...... ..�...._..inch water'service pipe <br /> For ............._��.��.......!-.1,:........r.5.'.: L�b.. ::k:4i�::'.4.:�,C�-..... <br /> . ....... ... <br /> .:. • <br /> ._. <br /> On ..............:::.!:_� 2 I c,� c_.::4......................... <br /> ......... -..�...:......_.. � Street <br /> Lot.............................................................. Black No.........................---......... <br /> Addition ...................................................T:.................................................. <br /> Remarks ........�C.IJ.�.s.!:�......./..Gr..f.-_'::51.:t..-.�-�c.,�....- ...- <br /> ....... <br /> , ^ i . „ , / ,. , • r, <br /> .................................1...l....-�---.:...::.r..... �---.....t..............:...a....�....._---..,..�... <br /> (� <br /> ............ ......................................................:............... --......------....-�---- <br /> _.. .... . ................ ..y.D........---.............................�.......'...._...... <br /> . . . i ,y. J <br /> ..///��� . ... ... ......�.�.. ...g_J.f..t`........_....---.._,..:.p_:..\(--�..Gt.t�'�C� <br /> r �J L �✓ Su erintendea <br /> � 0 9t� v .v <br /> �� AB06 AND MATEBiAL II86D <br /> No. i <br /> ...... ..... ....................._...j Lead Connection Complete <br /> ....................................'.................I �addle Cnmplete <br /> ....................._ft....................... .. ............_...............................................---......Pipe <br /> ...................................................... 5�rvice Cork <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> :Y........................ .... ................. „ <br /> x_ ., <br /> ........ ........................ <br /> _ Total ---.................Sq.Ft. <br /> -_----- --- — -- �a-�=-�--. -'--- -_— <br /> � � ' o r ., <br /> Remarks._.:;�........�!.�i...,......t.�::..:._l.,...a....:.................._._.......... .._-�---- <br /> � <br /> ............................_........._i�......---............................................_............i_.._.---.. <br /> ........__..........._._............................__......._........._..................... '_:..:................ <br /> Order Pr.ceived._._..__......... ,- -....._...............-....__.... ._......... <br /> ........ <br /> \�,'ork Complcted....:.....................................:. <br /> .... ............_.............. ...... <br /> � Forema <br />