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.. W. D.:9rro 3 �� <br />S.J. Pneee <br />CI,F��VERETT Water Dept. <br />! <br />Application No-------- Date.-- ---_----- 19_t_ <br />Install _ _ _ _ _ _ _ _ _ _ _ _ _ _ . - - inch water service pipe <br />For_ ----------- — — --- - — --- ----------------•--- <br />On ---------------- --------- -------------Street <br />Lot---------------------------- Block No..----------- ---...---- <br />A.ddition -------------._..- ---- - ----- ------- <br />Remarks----- ----------------------------------- -- <br />------•------ <br />--------- <br />- -- ---------------------------•- <br />LABOR AND MATERIA . <br />USED <br />No. <br />Size <br />Lead Connection Complete <br />(� <br />............... <br />............... <br />_---_-- <br />_...._ - <br />Saddle Q�m`plcctte <br />...... <br />! <br />.......... ..... <br />............... <br />j <br />Service Cock . <br />........... I ... <br />..............: <br />' "` <br />Service BOX <br />1. <br />.-. <br />............... <br />............... <br />......1. ...._____..____......._...._...._.___..._..__....____... <br />No. Hours Labor ..................--. Cost.. ..................... _----.- <br />Cutin............ Pavement ...... .......... .......... P_.Sq. Ft. <br />max....... .•. _ [, <br />�� i° •-•- Total .__.-_.-_IXI Sq. Ft. <br />tf 1 <br />Remarks. ` �' ......•..... <br />• .. . <br />Order Received. --------- '.' ----•- ........ <br />Work Completed --------------------------•-'----- -- <br />�` • FU R'Nin <br />