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WJ..D14i, <br />5.'rib <br />C1,17,,$�,FVERETT,,Water Dept. <br />Application No ------------- Date _.=---'2-=-----_19C/_ <br />nstall...... inch water service pipe <br />Fot.._..f �_.t_ 4� _!.-er!Le!E'. ---•---------- <br />__--_. <br />••----- ---- Street <br />Lot... ....... --------- Block No.., - ---------- <br />Addition _.._. <br />rc- <br />Remarks �-' - <br />"- - <br />----------------•.._......'- •---•-- <br />-------------------- <br />LABOR AND MATERIAL USED <br />-- No..-- <br />_ __ <br />___•._.-_..__. <br />Lead Connection Complete <br />____�J _.__&'.__.!_?__"'_'. <br />., <br />Saddle Complete <br />_�..r✓/ate �tJ -----------------.Pipe <br />-------------- <br />Service Co <br />�---------- <br />___ _______ <br />---Y.r- - <br />Service Box <br />- ..:_. <br />``�G Z` % <br />�/ <br />No. Hours Labor ------------------- sa_Co7t.--P .p.?<___----_-___-_-._..______ <br />Cut In.. ............ Pavement ------------ X______________ <br />--------------- Sq. Ft. <br />__X-------------- <br />��. .-__---' "" ------------X------------- - ""-__.__.__ <br />a <br />. �./ Total-------------Sq. Ft. <br />Remarks------------- - --•------------- ----- <br />Order Received <br />Work Completed-._.- ------ -- <br />__..._ Fvnman <br />