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�. i►- Tz <br /> �y 5.7,Pdcbe 3 +�2� I•� ' <br /> CITY���,�E,VERETT--Water Dept. <br /> ApplicationNo.----------- Date.----------------19---- <br /> Ir:stall._.___: _-.-----inch water service pipe <br /> � -------- <br /> For -- - --� ------•—•--`•-`----------------•-�----- <br /> . ,- .. -.. �. _.::---`---------------------- Strect <br /> On------"--'----'---- <br /> Loc --- - _ Block No. .--- . - - - - ---— <br /> --- --- •-=----- � <br /> Addition .- -- -------- --'--•-- ---- --- - --- . <br /> Remarks ---._ - ---- ------- — ---- --- >. <br /> --- ------------- ------------- -�-- ---- ---- -- ------------ <br /> ----- ----- --------- ------ ---------- ---�-- ---� ---------- <br /> 'n.- <br /> � ' � "_'c'!'_�_""" <br /> ""'"""" '"""'"_"' <br /> ""-"""" " � � . Superinten:lent <br /> LAAOR ANU MATERIAL USED _ <br /> . No. Sixe <br /> "_""'_' <br /> _ ___ ___________ Lead Conncction Completc <br /> '_."___'__"__ .""'_.__'_'. <br /> Saddle Complete <br /> /i -� _�..e_ i'-�_'Y"""""'__'"__""P�p` <br /> --'---��—_fc ----'?'---'--' <br /> � 3 <br /> _'__""'_""' '_ <br /> _____________ Scrricc Cock <br /> Se:vicc Box � � <br /> ___""'_"_""__"/_':/_"_""' ^ i __" <br /> � ,"_._'_"' Lc.eCw_,[>_�r_ �-S�N:�t¢-.'�''____' .______'____ <br /> ---- --- <br /> --- --' <br /> '--�--'-'---'- �•-'`-------' L'.c�ca-,��-�t_:t'�--f'�1`•`'--''------`9-'=-`---- ---- — - - - <br /> f - <br /> No. Hours Labar.__'_'____'____��"Cos['�•.f�""_""'_"'_"_'_""____ <br /> ' _".____"•_' ___'._'_'_"'_.Sq. Fc. <br /> Cut m'_""-----Pavemcnt'_"_'_""_}�- <br /> � �� <br /> _"_ X'_'_""""" ___'"_"_""__ <br /> _'_""_ <br /> . ' .� <br /> 4 � '"'_'"_'" <br /> � � _'__'"'_'"_'X '_"_'__"" "_" <br /> �, ., ., <br /> . ,r _x.- ----- <br /> . ---------- -- -------- <br /> -�I �:.� Total -"-'--'---"_S9. Ft. <br /> Remarks__ ' ' '� ' -------- ,'--'------- <br /> � i� � .fi <br /> -===�.f:_:�:�--_�_________________________________________ � <br /> �'_ _U-�-58__�__ <br /> Ordcr Received --. ------------ ----•------ <br /> Work Cotnpletc ------ ----- ---- ---- - - - '---i'�-.�r.;� <br /> -- <br />