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D. Foy.•) 25708 Y �J <br />5. b Priebe 9 <br />CT` y (X� 6,'VERETT--V'ater Dcpt. <br />PPlicationNo..- - ----- D)tc--------- `- - —. --19 --' <br />lnstall.. _ �;_ _: _- - _ _inch waver scrvice pipe <br />For L <br />On... — . _ Street <br />Lot.- Block No... <br />Addition <br />Remarks ._...- <br />----- ----- // <br />-- .J ±\ Cam.) !i ............... <br />ly l '_r i�$eDerintendent-- <br />LABOR AND M,Vq'•RiAL CSPD <br />No. I Siu 1 ""---- -- — <br />-•-------•-•__________________ Lead Connection Complete <br />•---------------------- Saddle Complete <br />([.._._.._._...___ __.__-Pipe <br />....... <br />___"Scrvicc Cock <br />.......... ...... I ------ _-------- I Ser�icc Box <br />'II ...- --- -_ <br />--------------. _------"'.._.- - - - -----------' - •--. '_-.... ........ <br />No. Hours Labor -------- ____---------- cost <br />.___.___.____.._.. <br />Cut in ------------ Pavement ............ X___-__.--. Sq. Ft. <br />------------ X______________ <br />___._...__-_X ............. .. <br />._______.___X______________ •• <br />Total ---- _---------- Sq. Ft. <br />Remarks <br />•--------------••-•--- ----••-------•---•---- .......... ------ <br />Order Received _________________________________ <br />Work Completed_______ <br />Poremon <br />