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_ ' i <br /> ; <br /> � <br /> � <br /> , <br /> � <br /> 0. J.JPI[!Cq 9Ft 11•S � � • ✓ �� v' .�./f <br /> W..A lONM1� ' '� �/ ._J� i <br /> C Y UF �VERETT--Water Dept. <br /> ,� , , - - �. <br /> Application No.....�...�J........ �D/ate..............................�.�_�:�...195_Y <br /> Install......._,1.._'L...........inch wat service pipe � <br /> Foc ............... .................................._............................-----..............---............. <br /> On ...................s.?�..`.1./...4......�.�Lr:�l,,;����.........`............. Street <br /> r�,.t............................::�..R......-----.......---...d Block No........C:'../�. ...._....._ 1 <br /> Ad-lition .................. : . .:..........._........ ........ ...---.......... 1 <br /> _.. <br /> ........................ /_ <br /> Ri�marks ._---....i-�..6.�ct�.i:s:?,`*j_.......�i.:,!:�::':<.:�._.:...L.�- �'"�i�� <br /> a r.... � 1 <br /> - - � � •J� •• � <br /> ..................V .r���.t_,11.J.-c....7.........-----....--------................:......_......_... <br /> .....................r....�..: . .... ......�...........-'----.........................................-•'• <br /> ......................"'--................................................_......-'----...............(.,�....�f:�..�...�-.�J. ... � <br /> ..............................................................................._.....................l.`�:.`:..y�{�. � <br /> SupeCintp�d�nt <br /> )l � <br /> LAROR AND MATER[AL USED <br /> No. Size � <br /> ................._........... ................... Lead Connection Complete <br /> ...................................................... Saddlc Complete � � <br /> .......................f t............................ ..................._.................._...............................Pi pe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box ' <br /> No. Hours Labor..............................................Cost................................................... I <br /> Cutin....................PavemenL....................X......._...,.._....... ........................Sq.Ft. <br /> . � <br /> '� F. ;� ....................X........................ ......._............... u <br /> �� �-�,r .... .............X............._....... :::::::�:::::::::::�:: .. <br /> _. ....................Total ........................Sq.Ft. <br /> - ... <br /> �' -- � f �- I, l_ . ..................... � <br /> � ,. , . _ <br /> Remarks..�.f;.:'.....:....:.........._.::...:....::.:...........................................:.......... <br /> ,. , . I, <br /> � �, <br /> .................... ...............`.......................................__.................:....:............�...... <br /> .............................................................................................�....�......................... � <br /> OrderPeceived..........:................................................................................... <br /> �Vork Completed.....�:.:�::,,r.u...:..,�'....�:...................................................... / <br /> Foreman / <br />