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i <br /> S J.^al»�M7-l619, • <br /> W. l.,�rm! .�' � - <br /> CI YoOF VERETT--Water Dept. <br /> Application Nn..._1`:...�/.:,..�3D/artG..........::�...`..._�..ti-�..�.......... 19r1..� <br /> InstalL .......1.��..............inch water service pipe <br /> For ....... ............. -.....................................................,........................... - <br /> �J' � . .. <br /> On ................._�/.....�..J7.._�---�.:.f11.,f::x�..:!:.`.G�!`:�.,.............. Street <br /> Lot.............................................................. Block No.................................-�-- <br /> Addition ........... -//..� Jd........................-�� ..................................---............. <br /> Remarks ..........l..�L.::Lz.f...;.5-..`:i..1 <br /> ..........................................................................................................................�- <br /> ................................................................................................�--........... ........ � <br /> ^ "'"" <br /> ..........................................................1_. <br /> �. r�:............................................ � <br /> `�' �..�:..!�' � ,y._1Z . . ' <br /> l..... r <br /> .......................................................::......... r..:.:....... . <br /> ,. ...:.._p. .'-'................. <br /> � !� Su erintendent <br /> � +�� <br /> LA60R AND MATERIAL USED ' <br /> No__�_Size � <br /> ...................................................... Lcad Connection Complete <br /> ..................................._..........._....% Suddlc Complete <br /> .......................ft......_`:.`.:...._......i ........�ii..e............................................._........_.Pipe <br /> _.............................._................._.� Scrvicc Cock <br /> ....._............................................... .�..CiVIM BOX <br /> No. Fiours LaUor..............................................Cost.................................................... <br /> Cutin...__....._......Pavemcnt.................._X..............._....... ...._'.................Sq.Ft. <br /> ....................X........................ ,� <br /> ........................ <br /> ...................Y............ .......... ........................ �, <br /> ....................X................... .. �, <br /> ........................ <br /> Total ........._.............Sq.Ft. <br /> —_ —'— — <br /> ----- <br /> Remark .�',.L'.....�1�/.�.�`Ot'.-it/.5'..sSy.7..'.�...:-!�P3p... <br /> ................. ... <br /> g.{,5�...�3`s,, S�ai=.-s..�:.4Y'�....�..Y,F�G�............. <br /> ...................................................................... .................................... ............ <br /> OrderI2eccived...................... .............--...................._............................. ... �. <br /> r/ �i. <br /> , .. i : <br /> \1'ork Com leted....:;�.. �.:�. / �,'• <br /> p _- . ,�.................r............:.:.....:..c�.................._. � <br /> Foreman <br /> —�r' ,. <br />