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�.� U J :'�. FeGe f �.:'{ _ <br />I�Y O�VERETT--Water Dept. <br />. , �: <br />Application No...:�......._......._ . Cat�.., __ ...:::..................................19....-- <br />Install.........:.:� ..................inch water service pipe <br />For ._....._'.......--' <br />On ._...._..�...._._.. <br />! _ . , <br />........._........... - - — <br />:.................:....................... Street <br />Blocic No ........::..::....._...:---:::..:::_. <br />Addition- ..._ :................. .........................................- -.._......... �..._..::::.,.: <br />Rema�ks r.:......: - ....... ................ - ...................._......_..--...... �........._. :... . <br />' / i <br />�-� . <br />_.... -..._.._...:...,._ ...................-................_.......__.............. �, <br />� ; <br />i' �_ ...:............:......... -- ....--._..::.:�........_.... <br />,: . <br />..... <br />' ` " ' ...........:� ...:........................_.....:................ --- � -.... <br />� _ <br />, ...............:: ......................... <br />...... -..._...._ ..................................- ............_ <br />Superintendent <br />No. <br />No. I�luurs <br />Cut in....... <br />LAIS02i AND 1ViATERIAI. USED <br />i <br />... , Lead Connection Complete <br />_,,,.......I $addle Complete <br />. � ................_,_:...�........:..........::.........................Pipe <br />........ Scrvicc Cock � , <br />........... Scrvice Box <br />..Pave�nent ....................X........................ .......................Sq. Fl. <br />....................X._...................... ........................ <br />,� <br />....................X........................ .... ................... <br />�. <br />...................n........................ ........................ <br />Total ........................Sq. Ft. <br />— __— <br />Remarks......_ ................................. • - ................_......__................................. <br />� <br />............................................................................................................. <br />OrderReceived._._ .......... ......................_._.........._........- - ..............._... <br />1Vurk Complefed ........:......:............:. r?...'...:......_....:.._:..._._... <br />... <br />� Foreman <br />