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a <br />5 J. Priebe!�9� � L Y <br />W. D. Porm <br />I ERETT--Water Dept. <br />Application No....'.�Z..'�._�.�, Date....._2....�.......�...:�.}/........19:/�.1� <br />I stall..... �'..2 .../ ..........:.....inch water service pipe <br />. � i <br />For .........ii7?!::.....;....�!J.:::!{:�_{...V...�rl.:.�-�.�.._ ........................ <br />.... ,/ / <br />�J�/ � � C L; � i ..(?!' C �- .... Street <br />On ............. ..,................. _. ....................._......-� <br />Lot...... .................................. �.U........... Block No.. �:..�...h................... <br />Addition ......................... .i .�.............................. <br />..... .. .�..... .............................. <br />Remarks ...........................--�!...�:�:Y..��; �::: _:?':�.....------.................. <br />,: i . Superintendent <br />✓. <br />LABOR AND MATERIAL <br />Size i <br />.._......,-- <br />........._ I Lend Connection Com?lete <br />..........,....._.., Saddie Complete <br />u ��W ....._�.-.R�7� •,.'.._., <br />.................... . ♦...'...............................................Pipe <br />..................... Servicc Cock <br />..................... Scrvice Box <br />No. Nours Labor ..............................................Cosl.................................................... <br />CuLin ....................Pavement....................X........................ .. ..........Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />'1'otal ........................Sq. Ft. <br />------- -- --- <br />Pemarks ................................_........... __............................................................ <br />_ ............................................__ -........... <br />OrderReceived.._ ......... ...........(.................................................................. <br />. � — <br />�Vork Completed...... ...._�.....-.-..c.%.t ..... .........1: _..I. 2...-..�..._.. - ...... �r <br />� � � Foremnn <br />