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____. __ _..�.._ - - ,__ <br />�_ _, _ , - <br />'�� <br />s. nm.e..� l.�l l�� � . _ _ _ <br />w. o. ten. s <br />F VERETT--Water Dept. <br />` ' '/ <br />,. <br />AppHcatton No .......:.....:......:.... Date._........_......,:.....:.:...................19._.: <br />/ -, <br />InstalL .............1_... t.......inch water service pipe <br />� -:,, <br />For .............:�.:..,. .!.: ......:---:....:..:.::..:......:...---..........---..._............_ <br />-•-- ..... ........ <br />On--...........:' _<..._ ...............:.k::::_..:�_::...:....:.----............................. StreeS <br />. � •. <br />r ,.r : , --- - ----.. Slock No.......:� ._::..:::..._....._.... <br />Addition <br />Remarks <br />_ No. I Size <br />. .� <br />Superintendent <br />LABOB AND MATBRtAL UBSD <br />......... Lead Connectlon Complete <br />......... Saddle mplete <br />i i ..t .. Rr .......................Pipe <br />......... . ..................... �..... <br />......... Servlcc Cock <br />......... Servlce Bo; <br />No. Hours Iabor ..............................................Coet.........................._......_.._........... <br />Cutin ....................Pavement...................X........................ ........................Sq.P't. <br />�� N <br />ii ; <br />T <br />' . ....................X........_....._....... ........................ �� <br />��. .. � Total ..........._...........3q.Ft. <br />—'---------- -- <br />Remarks...............................................................................................•---.......... <br />.......................... ............ <br />OrderReceived ........... .. ... ................................................. . ........... <br />. • � <br />\Jork Completed��i:.�.��2�!�.r..,,�..rl.. ; ..................... .. . : , <br />� ornman �� <br />