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'�. J. PRICOC YM / ���� '• <br />W. O, f�RM ] �� <br />CITY OF F VERETT--Water "'T3ept. <br />�: �„ <br />� '_' '_'. .d !./ / <br />Applicatiun No ................. Date.......... �.,� � . <br />. ...?.Z.�...,1.........19.C:-:� <br />I:�stall ..............................:i�ich water service pipe <br />For....................... _...... <br />.... ............... <br />_ <br />. . .............. <br />i_ '/ , �� --r .............. <br />On ............1..,%.�.7`� - G!: 1��......r:�_�� ................. Street <br />Lot........................ ..........................---...._. Block No.. - — <br />� ddition <br />Pemarks <br />.................................. <br />..... ................. ............. ................................................... ........................ <br />Superintendent <br />LABOR AND nie1TGRIAL USED <br />No. <br />r <br />...........................I...........................I Lead Cnnnection Complete <br />.......................... _.................._._.. Saddlc Completc <br />.......................f t.l........................... .................. ...................---........................ .......Yipc <br />........................ ................... Service Cock <br />... <br />...................................................... Service Box <br />........................... ....... .... <br />No. Hours Labor ..............................................Cost.................................................._. <br />Cutin........_.._......Pavement......._...........7{_ .................._.. ........................Sq. Ft. <br />....................X........................ ,� <br />........................ <br />............._.....X........................ .� <br />........................ <br />....................X........................ ........................ �� <br />Total ........................Sq. I't. <br />`---- ----- — <br />Re� n a rks ............................................................... <br />....................................... .... <br />OrderRecci.ced_ ..................._.................................................................._.... <br />\Vork Completed ................................................._................................ � <br />Foreman <br />