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Por <br />5. J. Priebe ((���� � � <br />CITY .OF. VERETT- Water Dept. <br />Application No../j J .� ,e------------ - J..__19r�_f <br />Install------ - - -i• •-----'itch water service pipe <br />For------ --�- II ' --•------ <br />On - - - F v_ _ . �/f( �i— Street <br />Lot. r , - ------ Block No.-- _- __ <br />Addition ------------- - -------------•--._ <br />Remarks -•---._.._..�--•-----•-----r-rr--•---------•--•---- <br />................. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />..... ... .. ...!4------------------- Pipe <br />Service C ck <br />Service Box <br />- J - - - --------------- <br />_Z--------------- <br />------------------------- ------------- ------•--- .......... <br />No. Hours Labor__________________ e�._ C st_.;:� ----_.._____._______..__..- <br />Cutin ------------ Pavement ------------ X.............. ---------------Sq. Ft. <br />x.............. „ <br />o! x.............. <br />Total ----------- -is-. Sq. Ft. <br />Remarks_ i�'` li ------------------------------------ <br />--------- - `? '' <br />7- -z. -- I ----------------------------------- <br />Order Received -------------=---------- -- — ------------------- <br />Work Completed---------------------------------------------- <br />Furem,a <br />