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s. t. rr; OI. D. Penna 3 <br />e , J agY <br />CITY6W*&VERETT--Water Dept. <br />Application No_____________ Date-- .----------------_lq,_-- <br />Install.__,:___ ___i....inch water service pipe <br />For . - <br />On_-.- -(!!=I--- <br />-------------------•-------•-•--•-----Street <br />Lot .......... <br />` BlockNo.- 4_'=' .....--- <br />Addition <br />Remarks . ............. <br />----------- .......... <br />......... .............. ... — --- — <br />5enerinten.Ivm ' <br />LABOR AND MATERIAL USED <br />No. Slze ------ - --- <br />--------------- --------------- Lead Connn:tion Complete <br />________ ... <br />__ ___________ Saddle Compete <br />--- a-�---- --- -- ------------ Pipe <br />_---------- - -- ------------ Sery Cock t <br />- CA 13ox <br />'' - 4 ---- .A ---------------------------- --- <br />No. Houn Labor --------- '..'--------- Coat ---------------------- <br />-------------- <br />Cut in ............ Pavement ------------ X______________ _______________ Sq. Ft. <br />n- ---.X.............. <br />------------ x ........--•--- .. <br />----------•-X-•-------- _ .. <br />Total --------------- Sq. Ft. <br />Remarks ....... --------------- <br />------------------ --------------------------------------------- <br />--------------------------------------------------------------- <br />Order Received . <br />Work Completed---_ .......................... <br />Foreman <br />