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'� � %� ri /J I <br /> 6 i PNI[0[':' IP � <br /> W. C. IORM B�� 8 �/ --• <br /> CITY 6F VERETT--Water Dept. _ _ <br /> �- . ;� <br /> , r;, -' � , �' � � <br /> Application No..��'���_,.`'.# ,Dat ...._<__::....�.._L..:/...................19....- <br /> , 7nsta1l..,..:���.............inch water service pipe <br /> , <br /> , i I . i <br /> � , For ..:..:.....�. y� ................:..:.<........_....... <br /> � '� � � <br /> a > , � � ' ��J. I J ... . .. Street <br /> � } , On ....................�..� ._��. ,._. ,. ...... . ................. <br /> E �_ Lot......................�.........------.......--'----- Block No........_......_................... <br /> r t t' Addition <br /> ` „ .............................................................. ....----........... <br /> � <br /> � . , F.emarks ...,,._�.. ................................................... -.................... <br /> ��.-" ; . � r-_• , ,� � r , � � . �, <br /> :���.,<<. , .........................:�.................-"'-........:�......................................- .................-"' <br /> ,� <br /> 9� ��.�-�:� .. ................ ........................................................................ . ....................."' <br /> r.' / .................................................. ........,-. . <br /> � .........{� ....' "" <br /> 1 � . ( , <br /> I �' �.1 ),I... ��...r.a--�... .. C �: �''i� � .�� :_. <br /> . . .........................r.. .�.. .- <br /> � �".�'. .� ' \ � 1 n�t� ! � Sdpc�'intend�t� <br /> � � i <br /> �; ��- LABOR AND MATERL4L USEll <br /> � No. i !'Size —�-- <br /> --- —— <br /> � � Lead Connection Complete <br /> ..........................._.... . . <br /> �............... Saddlc Comple:e <br /> ................................. ................... <br /> .......................f t.......I................... .......................................................................Pi P e <br /> � ... Scrvice Cock <br /> .................................�................. <br /> .................................. ................... Scrvice Hox <br /> : �`. No. Hours Labor..............................................Cost.................................................... <br /> ".4:" Cut in....................Pavement....................X......._............... ........................Sq.Ft. <br /> � ...................X.................._... ....................... <br /> �� <br /> ...................X........................ �� <br /> .... .. <br /> ..........X........................ �� <br /> ......._. ........................ <br /> Total ..............._.......Sq.Ft. <br /> ----- — <br /> . ii _ . <br /> Remarks...:..._�.....'.....�.._-_`-�.........::..:.........................._............................_. <br /> ...............�:...........:...............................................................�......... <br /> .................. � . <br /> / � \ . <br /> . ............................................................................................... . . . ........... <br /> r.�:..,._..�. <br /> OrderPeceive3.............................................................�..:.�.!.!.:.................... <br /> \tiork Completed...................................................�:.............._....................... I <br /> Foreman <br />