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. , <br /> �;� �. <br /> w. o. ron�Ia� � � ^ . <br /> %y� _s <br /> CITY OF �L.VERETT-.Water llept. <br /> ApplicationNo.../5��?- Date........�7.ic................19�:� <br /> F�r �. L•�stall.(.l...........�y._„_ inc.i water service pipe <br /> �x �<,,,./ <br /> ..... . ..�1'��:�.r.�:r � .J.�=-"-`-..._..��..g•�� <br /> ... <br /> . ...... ... <br /> On .......7�'.�..........���:........................................... Street <br /> . ..... <br /> Lot.....................::=..�............................... Block No..................................... <br /> �ddition ........_�s.c4�-��tsc�s�...,�f:z1,c..................................._ <br /> Remarks ...........%�:��G.�r.....:QC.:r:�«zcr.:.............................................. <br /> ................��c n.r��:...--........,�. c �% <br /> ..... — v��r; c:..:f..................................... <br /> .................. .................................................................................................. <br /> / .c <br /> ........ . .................�.......... :r....... <br /> ....""" '................................................ . <br /> Y �/ ' <br /> . .. ... ....... . ..�.n''u�.........? c ....�.�. � �%.�--� . - .�;,: <br /> ..... .......... , � � y <br /> ......p . ... <br /> i . r........... <br /> /�'///q� Su ermtendent u� � <br /> _ -____ -�L� ��L � . . '..:5 .. <br /> / <br /> LAROR AND MATERIAL USED <br /> � No. i Size I <br /> ----t— <br /> _.-- <br /> ........................ I ..._...................i Lead Connection Complete <br /> ............................_,......................., Saddle Complete <br /> .._....._...:i.......tt.............:...:.....:...I ...__........... ....................................................Pipe <br /> ........................ ... ........ Scrcice Cock <br /> ... <br /> ..............._:................................... Sert�ice Box <br /> ........... ....:.....................................I <br /> ......................................................................... <br /> � .......................... <br /> .....................................................I ............................................................................................................... <br /> ........... <br /> No. Hou��s Labor..............................................Cosl......................................... <br /> ........... <br /> ('a: :n....................Pavcment....................X..........._. ........................Sq.Ft. <br /> � .......... <br /> ....................X........................ �� <br /> . ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� � <br /> ........................ <br /> Total ...................... Sq.Ft. <br /> ----- ----------'—---- <br /> R�marks..... ................................................................. <br /> ... .................................. <br /> _. ................ ._............_........................:.. ............................................................ <br /> .............. .....................:.....................:.....:........................................................... <br /> OrderRecei��ed.. ............ ...:......... ........................ ....................................... <br /> lVork Cnmpleted....................... <br /> ..................................................... ........... <br /> Forcrc;a <br /> _s . <br />