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� a r�ini n� ��V V ` � ✓ , <br /> w. Wo�w a, . . � <br /> CITY UF �,VERETT--Water Bept. � <br /> Appllcetion No...(!�.�.�?.... Date....l....�.._.. ^...�"".....�...........19�.�"'_ <br /> 7nstalL..���._'_........._..inch water service pi� <br /> � <br /> For ...................................................r_____......... � . . � <br /> J� r,.'.... r� � <br /> on .--...............�.c.�.�....,�._.�.........1...�G�::..:.:f_'_:.;/`.l_...�.L..�:-StreeL <br /> Lot..............................�..{P..............._.._... Block No:......._...�_f�.._....... � <br /> Addition ............................................�--.......................................................... <br /> Remarks ....... .. ................................. ..... . % <br /> . . . <br /> _.................... <br /> y.... _ <br /> ,• � � c � �- <br /> `:�r1.,.:�_!!.......C....._�........:�_.*..!.......��.---......._... <br /> ...................... ........ 1 <br /> ......................."....................:............-�---.........................................................._... • <br /> ..........-�........................................._...._....r.?... {`,.d...w-�---...._.......-•--•.._... <br /> ; �c� }��J�G �'!. 1 t.G•' <br /> .............:.---................_........;....:.......,.1�-•--.:;............................................... <br /> �/�/� Ruperinfendent <br /> ��� �� <br /> LAHOR AND MATERIAL BED <br /> No. Size � <br /> ........................... ......................... Lcad Connection Complete . <br /> ........................._.........._............_. SaddleComplete � .. <br /> ......................it...._.........:..:......... ..................................._.........._.._.........._......Pipe <br /> ..............................�,.......:............... Secvice Cock �. <br /> .................._.................................. Service Box . <br /> No. Hours Labor....................._.......................Coet.._............................................... <br /> Cutin....................Pavement....................X......._......_....... .......................Sq.Ft. <br /> ....................Y................_....... ......._............... " . <br /> ..X..............._. .. <br /> . <br /> ................. ...... ....................... <br /> ....................X........................ �� <br /> Tota] .......................Sq.Ft. <br /> Rem rks.. � . �J • • <br /> u.t.:.....a...f..I.. / 1..v... � . . . <br /> _—_—'_ __ <br /> � ��• „� -/ .' �,�.� "..�.� � . <br /> � �.�. ......... ...........�._.j.....,.....� ..... .... ...... ,�t L <br /> ,... r. <br /> .. .. . ... . <br /> , / � ,. f - 7� . .'-F.:�t�. .. � . <br /> _ -' ...�. <br /> � - , e i�...Qa ` r L... ..r�°'....��.�� ;� <br /> .. .. T�'v'�. ..`�..�Y....�......""........,��G �� VL <br /> .................................-.................................................... . ���.G.�:'..... <br /> Order Peceived........... . .................._..!1..............._`� �......_.................. <br /> d / <br /> \Varb_ Completed..,.�.-..�........�...... .. � ............................ <br /> Foreman <br />