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5 J. Prieh. / <br />W. U. c.rm • <br />� � �VERETT--Water Dept. <br />. , <br />f �,� � �! // � <br />Application No.... _ � :.............. Da /../................L..i!.;..._�...Y........---18..: - <br />Install........".;�7...........inch water service pipe <br />, ._— <br />For , , U) .., . <br />.....:..:. ..:........................................ <br />ny ..........................:. ....... : J,:+ � <br />�....... .; ----=� : .'........ � �.rl .[ / /t' � <br />---' <br />On ...........� .........:.....:...................................... . . . ............. treet <br />,. ,•, �� <br />Lot...--.........�?.: ?� ................................ Block No.......:�..L:..x:.............--- <br />Addition.. ......_ ............................................ .......... ..................................... <br />Remarks I' c� . , ._.. , ;. , <br />c' <br />. ... . . .... . .. . ... . . . ... ........ .. ... . . . .. . ..—. . . . . . . .. .. .. . . .. . .. . . . .. .. .. .... . ........ _ .. —..... . <br />�� ��� ..i �/ .. <br />.......:......: � ....................}:......:..:.:...... ..Y-...........---_................__...=--................ <br />...............................— ,----,- - <br />�............. ......... '�`^�� . - " : ,...�.^'-'.-_"•_:'�� . <br />""" ...... ......._........................................ .. <br />. ._�,_ ..r--." r I <br />a�7 ; r.1 �,, \ �....(� `' . ,' � <br />�d7q f � � , <br />N%JR.Tt.... �9... `......... ....5..� .................__................__.��.................._'.......�' <br />� � /, (� Superintendent <br />= '7. / ' �l l � il ! , . r <br />1 <br />LABOR AND MATERiAJ. USED <br />_ � —��a--u j --I.. -- -- -- <br />�- _ � ...................... Lead Connection Complete <br />.......................... <br />� Sadd e Co p te <br />.. .. ................................ ... ', <br />. .:.�........ft.......... ......�� ... :iiT�.:� ..............................Pipc <br />� ������� Scrvic�k <br />................. .......................... <br />........ .. <br />. i___ ..................._ Servicc Box <br />i <br />.;o. Hours L�bor .............._................_............Cost.................................._..............- <br />L'ut in..........._....._Pacement........_.._...._.X ..................._... ..............._.......Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................}:.........'............. �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />------- --�� - — <br />-- Itcr.iarl:s ........................................................_...............___...._._..._ .............. <br />........_.._ .................._........_..................... .. _...................... <br />OrderReceived._._.-..: ,'..f^ _._.._.::.,_ .................�.. .............................. .. .. <br />' �'� o�i: Completedr.C} ...<.-:...� :::::.i..r...`..^... �`.:/C... �.: _ _....._ .................. :: <br />, Foreman <br />