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- �- /�.3.5'� � = '�r�����'�°�� <br />w. o. ronr+ o ( �i <br />CITY OF I;VERETT--Water Dept. `� <br />Application No...l.��:3'��.... Date ................................:3-..�.-...194.'.1 <br />?nstall .............................. .inch water service pipe <br />For...... ...........................{.� . . . . . �. �.�........................................... <br />On .......+1.�.'�..�...........(G.?..'G.�4F'f1.7.!.'-�n<.....,�.'...`.`.*.�:.._ ................ Street <br />T,nt..-----"'--.................... ................0........ Block No.....----........................... <br />Addition <br />Remarks . � • <br />.. . <br />. . ...... <br />i .............. � <br />........ ......................... <br />.................L_: �t. :�:..................................................................................-�---- <br />LABOR AND hiATERIAL USED <br />Lead Conneclion Complete <br />Saddle Complete <br />Scrvice �ock <br />Service Box <br />No. Hours L�bor ..............................................�os�.................................................... <br />Cutin ....................Pavemenl....................X........................ ........................Sq. Ft. <br />� ....................X........................ ........................ <br />�� <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />-- - --- <br />Remarks............................................................................................................. <br />.......-- <br />OrderReceived ............................................................................................ <br />\Vork Completed ........................................................................................... <br />Forzman <br />