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, <br />e�. o. ro�w a `/��I �` i'�1�j�1Z � <br />CITY OF EV�.RETT--Water Dept. <br />,.�„ .f _ <br />Application No.../...�,r..l...:�. Date ......_.�:. .....1 ..........................19.1.`� <br />Install .............................. .inch water service nipe <br />For..................................... . . . . .. . .... ........ <br />�n ._._�..:./..P........`����t�lt':1��:'� �.-T...::.�.'�_._ ................ Street <br />i� t ... .................................................... Block No..................................... <br />,. . <br />: �-.ut� �n ........ <br />..................... ........................................................ .................. <br />fiema� k� ............................ .. <br />.................................................................- - <br />� SuPerintendenL <br />LABOR AND MATERIAL II9ED <br />No. i Size <br />......................................................I Lead Connection Camplete <br />......................................................� Saddle Completa <br />.......................ft............................ .................................................... <br />.....................................................I Service Cock <br />......................................................I Service Box <br />_ ........................y..........................i ...................................................._............. <br />Na. Aourc Labor ..............................................Cost................................................. <br />Cutin..........._.......Pavement_ .................X........................ ................._.....Sq.Ft. <br />....................X_ _............_....... ., <br />........................ <br />....................X........................ „ <br />. ...................... <br />.............._....X_...._................ �� <br />........................ <br />Total ........................Sq. Ft. <br />— ---�------ <br />—_:- <br />Remarks ................................................................................ ............................ <br />............. <br />OrderReceived .................................. ........................................................ <br />1VorkCampleted ................................................................................. ....... <br />Forem n <br />