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N. D.form3 14I <br />�15r. <br />$. !. 7naLc <br />CITY EVEKET--Water Dept. <br />CITY <br />COPPER ; <br />Application NO----- ------- Date- -t 1� <br />Install -------- - <br />?,_.._inch water service pipe <br />For <br />"--- - <br />_Street <br />----------•------;%r-i <br />Lot------ ---------------- <br />Addition ---------------------- <br />Remarks _-•---------- --•---- <br />-- <br />- -•- <br />.__.--_.-_T__---_.___ <br />--- ---'-' Suvr'rietendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />saddle Complete <br />Service Cock <br />SeN4z Box <br />1-of r <br />� '� -. n`�` <br />L-' ---------------------------- <br />No. Hours Labor.-__.___'__-.-..__-r_-.,,,,___ .---'--. Sq. Ft. <br />Cut in._.___-_---.Pavement._----------X--------- ---- <br />.. ------------X.. ............ <br />(�� -----X ---------------------------- <br />X-------------- _---- <br />1 ---Total ---------Sq. Ft. <br />_._ __--___ <br />_-.____-- <br />Remarks --------------- <br />Order Receive ______________ <br />Work Completed------------- - <br />- ---- --roman <br />