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t'7,f - <br /> s. <br /> CITY Or EV ERET F- a r Dept. <br /> r _ <br /> I.`� 7y3 L....19. <br /> 1aplScaticnNo..._ .. Date._�._� <br /> �I I stall....... ..... ...inch water service Pipe <br /> For �.....11{ _O.C. O�� • _..._..--•-_..._. <br /> .� �L1.7_.�'\..- --.- ---Street <br /> On......7— _/.1... <br /> Lot............ .... ............ Block No--- -- ---- ------------ - <br /> Addition .. ._ .. .__.. <br /> Remarks _... - 12.11 e! - -- .------- <br /> �, •_. <br /> .................... ....... .._-•. ... ........... ............ <br /> ........... ...... .............. .... . ........ <br /> ...... ...... .......... ..... ...... ...... ... .. .. .. .. ...... <br /> ... ...... .. ... ...... <br /> ®� <br /> LABOR AND MATERIAL USED <br /> No. Si:c <br /> .............. teed teed Cnnnectlon Complete <br /> • Saddle Complete <br /> .............'_..._.Pine <br /> ..ft. .. <br /> ............... ............... Service Cock <br /> ............... <br /> ...... Scrvlee Box <br /> No.Haut tabor...................... rt------------------------------------Sq. Ft. <br /> Cut in.._...._....Pavement............X.............. ....... ....... <br /> ............X......._. .r <br /> ............X ............. .. <br /> Total ..._ ..... ....SQ. Ft. <br /> Remarks....................•-------------------............... <br /> .Order Received ---------------------- ------------ ---------- <br /> Work Completed------------- ---------------------- var.w.a <br /> f <br />