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/�"l�� � %; <br /> w. o. ranAO , , , ' <br /> CITY OF LVERETT--Water Dept. <br /> Application No..�...::..L..r,.- .�: Date.... ...._tl....._.�.................19..�:. � <br /> � Install.......1.............._....Snch water service pipe <br /> I'or .....L:.�......�/.L...........,......1..�....::.....:-'............................................... .. <br /> On .........._�../...:...............�..;:..::._�........................._....................... Street <br /> >� !Q <br /> Lot.....:..:......:..'::::..........:..-_--................... L:ock Na...................._................ <br /> .4ddition _..............._.................._./_.........._................ ................................. <br /> Remarks .................................�:..l.-.-.:_..:...:..:...:: / <br /> ..................................................................................................................... <br /> .................................................... ............................................................. <br /> ..........................................._...................................-_.........................---...... <br /> _.....................-- ...................................... �� ..............._............................. <br /> Superintendent <br /> LASpR AND 112ATERIAL USED <br /> No. i Sizc I <br /> ...................... ............_........_ �:.cad Cor�ection ComPlete <br /> ..................................................... Saddle C�i�nPletc <br /> ...._.................ft........................_.� .................-----............._.................................Pipc <br /> ......._..........................................._ Service Cock <br /> ...................................................... Scivicc IIor. <br /> No. Hoars Labnr..............._._..........................CosL.._..._.......................................... <br /> Cut in..............__.Pavemcnt....................X........................ ........................Sq.Ft. <br /> ................_..X....................... ,� <br /> ......._............... <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ................_ _._Sq.Ft. <br /> _____.__ _____—_ _ <br /> Remarks........_..............-..................................................................... -- <br /> ................................................................................................................. <br /> ......................................................................................................................... <br /> OrderReceiced.._......................_..........._........_..........__............... ......_.... � <br /> ,. \Vork Campleted............_....................... ................_......__.............._........ <br /> � Foreman <br />�`. , <br />