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5 7• Priebe �M 7.161�5 � � � • U ' � <br />W. U. Form ] <br />;.ITY O'r' EVFRETT--Water Dept. <br />Application No ..:...................... Date.::,.;..........:.__.........................19:::... <br />Install .......:...:..:.:...............inch water service pipe <br />For.........................'— <br />On ............:......._..:.._�. <br />Lo t ................... _.:......... <br />Addition ................... <br />,,_-- �mafks_ .....:............ <br />. ,��.' �, .......� .........:....... <br />. _� \. <br />"�k0 � <br />� . . ..T ........................ <br />,....� I�".. <br />'v 4 . • <br />� . .� .. ...... ..::.......... ...... <br />. � � ;, * <br />,x�.�. , ^ i i <br />-,. � ...........:�.......,..[.'..f / <br />:......a.... :�... ......... <br />............... Block <br />� � LABOR AND MATERIAL USED <br />Size i <br />.......................J Lcad Connecfion Complete <br />................._. ... Saddlc Complet� <br />........................ ......._............................. _..............................PiPe <br />........................ Scrvice Cock <br />....................._. Service Box <br />No. I3ours L�bor ..............................................Cost.................................................... <br />Cut:n ....................Pavement....................X........................ ........................Sq. Fl. <br />—, <br />:, <br />. .................... ........................ ........................ �� <br />� ; s <br />i 7n' .. ' <br />'/ ....................X.._.................... .._....._........... <br />� ~ � <br />� -. � <br />�, -� � .............._....X._..................... ......._...._......._ �� <br />� Total Sq. Ft. <br />-------- -- — — <br />Remarks_.'..:....... _ ::.:.........._..................._.....:::.._...._........................._....._.. <br />_ ....... _... _ ............................................... _. _... _...... _...... _... _ _.. _ ............... ... <br />_.........__ ....................................................................................................... <br />OrderReceived._...__ ............................:...................................................... <br />\Vork Complcled .............:'.:::......._...:'...............__........_......_................ . <br />Foreman <br />