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w. D. romw ] <br />CITY OF F.VERETT--Water Dept. <br />�hr; <br />Application No....14.(.-'... Date. ......... .............. . ......... <br />Install...............................inch water service pipe <br />For................................................................................................................. <br />On ........dam-.. ;J.h:..:4:.-:?. ...... lC'%......... _.._... Street <br />Lot.................................................... ....... Block . ....... <br />Addition...................................................................................._......._........ . <br />Remarks <br />................................_.............._............_.._......................._......_.._...._ <br />............�Ph..C..A� .. a......:....._....._.........................................._._..._.._.._... <br />............ 0... 2t�.....C.P..A................... ................ ............. 0....... ...... <br />_._.._.. <br />...............-... 7.A......... _._.................... .................. .................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />....... ....... _..... <br />........................... <br />Lead Connection Complete <br />....................... ...... <br />........... 0......... <br />Saddle Complete <br />.._.._.._.._.._ 11. <br />_.._..._._.._......... <br />......................._.......... ........ ...... _.......... ... _Pipe <br />......0.... <br />............ .....0.,...... <br />Service Cock <br />.............._.._....... <br />............. ._......... <br />Service Box <br />No. Hours Labor ............................ ......... _.... Cost ....... ......... ....... _._................... <br />CutIn .................... Pavement ............... .... X ............ .......... ........ ..... _....... Sq. Ft. <br />.... X........... _... .... .. <br />.................... X........... -_.._... .. <br />Total ........................Sq. Ft. <br />Remarks............................................................................................................. <br />OrderReceived ....................................... _.................................. _.._........... <br />WorkCompleted......................................................................................... <br />Foreman <br />