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RYPPI[�t��� • _ _y <br />W. D. I[]RM ' <br />CITY OF VERETT--Water Dept. <br />. _ -- <br />Application No .1..��..%..% Date...,.�.:�.........-�-'�--_w?.........19:�..`.- <br />�' 7nstall...,v.� .............. ir.ch water service pipe <br />- .. / .� <br />..-- - <br />For . ... .r:.[.:�t..>�..�,........�..�_. _ � ',� ,-� . t t..r.....-----......... <br />;.� —' .1 � ��_. ._r ...................i <br />�Il ...........__.........�_G^!.T......_"........LT::.:t:..1...1r. /.:: �.....—Gtreet <br />• •�r • <br />r.�; r. n , !, <br />Lot... .':..t...'..<r.....r.'..... r + �...::.c ............. Block No... 'r._-....._....-_............ <br />Addition.................................................................. ...................................... <br />Remarks............................................•---�--......._...._.............-•---....................... <br />L- <br />,. �i l . �; - <br />,� , _ � /,'� ) Superintendent <br />�/ <br />. , -- /'f �- <br />, . LABOR AND MATERIAL IISED <br />No. _I Size � <br />........................... _......................... Lead Connection Complete <br />......... ...................._................ .._ Saddle Complete <br />................. �..St.....�.�_�_..._._.... ._�.a_�.:..:.._......................_....... <br />............ .................._......... .......... Scrvice Cock <br />...................................................... Service Box <br />............................................_....... .................................................., <br />No. Hours Laboc._ .............. _........................Cost................................................... <br />Cutin ....................Pavement_..................X.......---............. ........................Sq. Fl. <br />= � � f � { ...................x........................ ......._. <br />....._....... ,� <br />_ �_ <. - <br />....................x........................ „ <br />........................ <br />� „ ., i .�? ......x ........................ „ <br />............. ........................ <br />� !. - � � J ' � To:al ..............._.......Sq. Ft. <br />---- —'--- -- <br />,� - <br />Remarks..................... :!......_: :.:.:........:..::;..:.._::.:...............----......................... <br />UrderRecei��ed .............................................................�................................. <br />\Voi4: Cample,ed..�..:�.:...i..:l.-.i.' :..................._....:'.:..:---:..�.�.;::..:........ <br />Foreman \ <br />