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w. o. rav.ti a / I ��� — _ := ' ,�2- /% G� <br />CIT'i OF L->VERETT--Water Dept. <br />Application No.. /7.�./.G:. .r.': .... Date........:=.:.1..: /t `:� ..............---.19----- <br />7nstall ...............................inch water service pipe <br />or .........r/................. /� <br />. ...................... <br />r................................ ................ ..:............. <br />On�. f I.�.....: �/.LU_ U?..._C'�.t:::�. .. ./..LJf ......................... Street <br />......�... . . � `:: . . <br />T.�t - - ............................... Block No.....----------..................... <br />Addition...................... ................................ • -....................................... -.... <br />Remarks. ....................................................................................................... <br />_- - -..... i�jl � ..............................................................._.........................-- <br />LABOR AND MATGRIAL USED <br />:.ead Connection Complete <br />Saddle Complete <br />......:...I Servire Cock <br />Service Box <br />No. Hours Labor ..............................................t;ost.................................................... <br />Cutin ....................Pavement....................X........................ ........................59. Ft. <br />....................X.......---.............. �� <br />....... _ ............... <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />Total ........................59. Ft. <br />--- <br />D�........Ln ____. __ . .__ . ._._ ...................... ............... <br />OrderReceived .........................................................................................� <br />\Vork Completed ......................................................................................... <br />Foreman <br />