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5.J.Prieb�35� � � ^ <br /> W.D.Po ' ' <br /> I Y F VERETT--Water Dept. <br /> . � : ,. �[-7 <br /> Application No..�.�...1..�.�.. Date................��......:.---.�...........19...1. <br /> Ir�stall........_31..r!............inch�water service pipe <br /> ( ^- � , <br /> For ......... ....:..: `Q..:.:_�..-.L:Ko..�.1................................................................ <br /> -� � -. J / <br /> On ........_�. � _....._�.......�>�.^:_.............�?�:.^-c��....................--- �treet <br /> Lot........�._7�.'�......./......::1..L.1:?.'r Block No.................. . . .--....... <br /> Addition <br /> ...................._.....�.......................................................................-�-•--- <br /> Remarks .............J::..2f.�G5J:�I:r....: <br /> r ................................................�----.......... <br /> .. ........................ \. .................-----................ <br /> ........... ..................................... <br /> --.. . <br /> , �...�........ ........... �....`.. ................................--�--..........-•----�--.. .... <br /> '�' c� . .. . <br /> ..I. . ... <br /> 1 ' <br /> ;� ..�..�.. . ......� . � ,�.....................................................r-�----�-......._ <br /> ...... <br /> ..... <br /> - � i 1 <br /> � . .. .. ...........'.............................................................:' ' ' <br /> T �.....:..:_ � c..�v' <br /> �'""""..... `� <br /> �a Superin:endent <br /> � ' -�`° `� � ' <br /> �. <br /> � LABOR AND hiATERIAL USED <br /> No. Size � <br /> ...................................................... Lead Connection Complete <br /> ..................................................... P,addle Complete • <br /> .......................ft............................ ........................................................................Fipe <br /> ...................................................... Service Cock <br /> ...................................................... Sc^vicc Bax <br /> No. Hou;�s Labor..............................................Cost.................................................... <br /> Cut i:�....................Pavement....................X........................ ........................Sq.Ft. <br /> ...................X....---................. �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................h....................... ,� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> _ �—Y,. <br /> Ramarks...,/..�.�....�;L�:_�_:_:.._..�:4:�...........................................--- <br /> ...............................`..�.. . . ... . <br /> . ..................................... <br /> ...............��..��_1.....;'...�...................... ...................-�---�--...................... <br /> Order Peceived................................ •' •' 1'..1 , �, <br /> ........_.........._... <br /> . <br /> .. , .. .. �a. T,p......_...---J . ..... � <br /> ,.-. <br /> \\'ork Comp,eted..................................�:........:_`:'..(::.�:�.':t..:.`.::�::°:r.:..1��,.. <br /> Foreman -� <br /> -+r__ <br />