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Ili <br />W. D.Porn) 1� ee <br />S.J. Priebe <br />CITY O ' VERETT--Water Dept. <br />COPPER <br />Application No------------ Date <br />Install.. _ inch water service pipe <br />For� �------ ----- <br />On --•------. �_Q/__ /i!!-_._ --------Street <br />Lot---------- 7............... <br />Addition._...- ��D %/r <br />Remark <br />j jj -(z _l tr. `l _---_----•----- -•• <br />O frJ 1t' V ---- <br />=2 '----•----.......------------------------ <br />--- --------------•---•----- ` r <br />_ <br />3 ` 7 // A�� 5v 'ntendent <br />s_ -I <br />LABOR AND MATERIAL OED <br />No. <br />Sire <br />.............................. <br />Lead Connection Complete <br />_____________ <br />_____________ <br />Saddle Complete <br />;!- ----- ft....... <br />G� �'____ <br />/yyam� ... <br />.. <br />_.e.o-_/ ___ _ _. r. . ................pipe <br />.............................. <br />„_ _ <br />Service Coca <br />Service Box qr I <br />5 <br />�J <br />L. Xo__ -`-------------•-•-------•----•--- --- <br />No. Hours Labor___________________ (-_ Corr7-. �. P G <br />_ ______________________..___ <br />Cut in____.-__.___ Pavement ------------ X-------------- ---------------Sq. Ft. <br />X--------- _---- <br />'3 7 7,?, Total _______-------- Sq. Ft. <br />Remarks.'............... ------------------------------------ <br />/ <br />'6-- �---------------- <br />Order Received <br />Work Completed- - ------------------------- ------------------- <br />Faremun <br />