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- . . s��.�� � - - �5. - ; ���.z_ � <br />w: o. ronH'o <br />CI�'Y OF LVERETT--Water Dept. <br />� .1 ;'�> ; / .................isl.�/ <br />Application No._1.....�..:....... Date._ ..........:::......... . <br />Install ...............................inch water service pipe <br />.... <br />For..................................�.....�..-.,..............,.................................................... <br />On ......,: ts'L.........j�r�:..i.r:�:�i..�?�.:.::..r..>.v .......................... Street <br />• _• _ --.........--...... Block No........------- .................... <br />Addition ........ ................. <br />Remarks.................. ....... <br />? . �; <br />.. _ ..................... <br />-_ :.:......... .._... <br />; �, <br />,. � . , <br />. ., .................`...--........ - - <br />� ,:.�.�..-...7� ..................... <br />LABOR AND 11fATERIAL USED <br />Superintendent <br />Lead Connection Complete <br />Saddle Comptete <br />......................................... ..............................Pipe <br />Scrvice Cock <br />Service Box <br />No. Aours Labor .................................................,�......................._--- ..........5 Ft. <br />.............. q. <br />Cutin ....................Pavemcnt....................X........................ .� <br />....................X........................ ........................ <br />....................X........................ ........................ <br />�� <br />.................... X........................ <br />........................ .. <br />Total ........................Sq. Ft. <br />------ . ,.-- . - � � <br />�. �;, �� 76 � ' :�' ..........:.......................... <br />N .....:.......:.. .........:......:.:. <br />Re�narks.....:i ....................... �. <br />- ; • .......... <br />✓ -. _, o. � .......:....:.......................................... <br />i _, .. <br />.......... <br />... ............. ........................... , <br />. ............ <br />� ......... ..... <br />OrderReceiced ............................................................................... <br />....... . <br />\Vork Campleted ..........................................................................Foreman <br />