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s�a. 'niucain� � � � �.. / <br /> W. O. lORM '+, � _ <br /> �CITY OF VERETT--Warer Dept. <br /> � :- ,/ _ <br /> Aoplication No...(..!---1._7.�"i.�... IZate.....�...:::..........t�:..7_.....195�—.'-' <br /> ?nstall.........�:.�..,�'..........inch water service pipe <br /> For .................................................................._ . ._........... <br /> - <br /> .........._......----••--- <br /> On ...........................1._..e��%�............... . .�1�........__. Street <br /> Lot....---��............................................•--...... �lock No........_.._......_...........•--• <br /> Addition ........................................................................................�---.............. <br /> Remarks .........................................._..............----•---.............................---.._--• <br /> .-�---...._..............................................._.......-�---...---..............---............................ <br /> �A <br /> '�. <br /> ....... ........ .:....a......�a..........................................."""'.........................._........_... <br /> , ' ' � <br /> / i <br /> • � <br /> ........ ..... .......<., ..... .. C..................'"'........._:--._.........:.......�........................ <br /> . . . , .,. .. q iY ..� . , � <br /> -'(� � � i , �� .�-=�. � <br /> E ,....:,. . - , ; <br /> � :........r_.?..............---..................._�:.:�::.:.._�.........--��----����---------........ <br /> � �j� ���� Supe:intendeat <br /> � � f �". <br /> � <br /> .,. ./� LABOR AND MAT'dRIAL IISED � <br /> No. Size <br /> — ---- <br /> ..........................._.........................I Lead Connection Complete <br /> ...................................................... Saddte Complete <br /> ......................Sk_......................... ..........................................._..........................Pipe <br /> .............................. ....................... Service Cock <br /> .................._.._....................,......... Service Box <br /> No. tiours Lsbor..............................................Cost.........._.........._........................... <br /> Cutin....................Pnvement..............._...X....... ......_....... ........................Sq.Ft. <br /> j' � � �� — . , ...................X.............._....... ......._............... �� <br /> �T ` ��� ....................Y........................ �� <br /> ........................ <br /> ,._ � ' <br /> �� �J _ cJ ....................h..........._........... .......... �� <br /> '^ v ./ .............. <br /> Total ..............._. Sq.Ft. <br /> ------ -- — <br /> Remarks................'.......1..---_........................................................................... <br /> .................................................................................................................._.._:. <br /> , <br /> .....................................................................................:.......... .r.._........:......�...:.. <br /> OrderP.eceived.............................................................�:.....:...,._................... <br /> \Vor�_ Campleted...:�..:.,..::.0...... ..:...::.....................::..:................................. � <br /> Foreman <br /> --s_. _ . .. . ..._._ -.. <br />