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. <br /> 5 1.Prieha�M).�9� � A � <br /> W. D.Form) �/ <br /> � �..Ti, VERETT--Water Dept. <br /> Application No..III.�..L...... Date..................�:-�./:�7...1............19.�I <br /> �� inch w erservlce pipe <br /> In stall...........�.................. <br /> ra�• .. .. .............. .. ............ .......�. . .. .......... ............. <br /> , ........ ....... <br /> On .................. ................... ....... .... . ........................ Street <br /> 9 - '--- <br /> LoL.��{Q�.. �:G ::.4.�rlGt�tJ. Block No......._............................ <br /> A�ldition ...... ........................................ ........................... ...........✓... <br /> Remarks . ~- ) `-'—/C,1,�,...,......"l��„ <br /> ......�ti . <br /> . . .... �Y1.r...._cL¢/ . ��o-��-Q:d.r{:�.�.�....................... <br /> ........... . . ...../.r . � <br /> .............................................................L..........................................---................ <br /> .................................................................................................�..... .......} . <br /> ,..-- � .. �r <br /> ... ..:.:....... .... ./- . . r f..�y.. . ................................ ................ ...... <br /> � �^"'"�— <br /> � fr ....�.� � � � S�perinte.�t/�e,n`tJ <br /> _ � �'�� 1 .11 /�71 n " _;��J � <br /> �• ,:,� .�, �� LABOR AND MATF.RIAL UBED <br /> No. • � Size � <br /> -------- --;-- ---� � -- <br /> ..................................._._..............I f.cad Connrction Complete <br /> .._................................_......._....... Suddlc Cmnplelc <br /> ... ..................ft........................__ .____........................................_..._...............Pipe <br /> ..__....................................._......... Scrvirc Cock <br /> . __......................_._..................._ Scrvice Dax <br /> N��. IIou's Lnbor..............................................Cosl.................................................... <br /> C:ut in. __.___.... Pnvement.._....__........X........................ ........................5q.Ft. <br /> ...................X........................ ,� <br /> ........................ <br /> ....................X........................ . �, <br /> .................... . <br /> ....................X........................ ,� <br /> ..................._... <br /> Total ....._.........._. Sq.Fl. <br /> ------ � -�---- —'- <br /> _-- � - �-- — ------ — --- <br /> Rem;�rka.....y.:...:�...,�.......................... :'..'.................................................... <br /> _ _..._. ... ._ ............................................................... ...................................... <br /> __ _ ...._...__.................................................................................................... <br /> Ordcr kcecit�cd...................... 'I � <br /> ........................................................................ <br /> � „ I I <br /> 1';nrk Completed.:��...:_...:.. ..._,.....'...._ .....:_ :.,.._;..:...�.}_......:._...:.... <br /> Foreman <br />