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w'�°�F°`m' �.4�1�' t 3 �VERETT--W�ter Dept. <br />CIT~� CF � , <br />Apnlication No....:�..1._-�_�1.. Date ..........................:::..%..�.5:_...19�.! <br />i r..y.........inch water service p�pe <br />Install ...............� ' <br />; ........... <br />1 J ; .................. <br />ro�� ................1 „ i ....�::�..,....._� .B1uck No._. �, .: � StSRet <br />. � . ........--..... <br />,.......... ._......... <br />J .................._....... <br />on .......................:a. ... <br />Lot................._............_ ---`- ...........-..........._ <br />........_ ..,_......._........ � ; <br />Addition ......._ ..._ : .. .................. , � , � , . . <br />........_..._ <br />, , <br />� . `� ................_.....:........:r..:. <br />� , z � ._ ............................ . <br />............. �, ,`.� <br />Remarks , . •t ...:......... <br />� .... <br />...-- --- <br />...^..........�_. <br />._:..:...._ .......... ...._......_-.... � C_ <br />____ _...'.:.'_:'._' -:.........--'-- <br />_ , 7 . ; . , .. _._...... <br />................................................ <br />No. <br />-- --i <br />....... _ ................. <br />LABOIL A\D MATF.RIAL USED <br />.. :' :....:.........._ <br />Superintendent <br />Sizc � .__�� — <br />----_ <br />�� I,cad Connection Complete <br />..........._..._I <br />._ ............... Gaddle ComPlete ..._....._..........._.....Pipe <br />.......................... <br />........._�.._ Scrvicc Cock <br />....................I Servicc Box ..............._..............................._..... <br />""'._-��_— . <br />...Cost ........................................59. Ft. <br />i;a Hours Lal�or ......................._...._........... ..._........... <br />_._ Pavement.__....__....... <br />7{ ....................... �� <br />Cutin.__._..._ ........................ <br />....................X......_.............._ « <br />� ........................ <br />_.___.._...._X......_ ................ �� <br />Sq. Ft. <br />...... ..............X........................ <br />Total _� <br />- � ' . . <br />'T, ., ' ..::.......:....._............._...... <br />. _ ...... _..... _ ............. _ ............. <br />Order Rcceived .....................:.....'.,`; .._..............,........._ ,. <br />.. � <br />_.... _........ <br />_...... _ . _. .. .. . <br />'.vark CompleYed...:..i..::,::.::;'..._-::;�...,...... _.,. Foreman <br />