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L a non[ aw(,1677 <br />w. o.roewa ... . <br />ITY OF ��E// VERETT- Water Dept. <br />Application No�l.�'.Y1..... DBte......................._..... `f..1�?_?! <br />.. <br />1 Ilstall .. ............ ......... . inch <br />�water service pipe <br />For .........L�c ...�.�..!. <br />On ............. . ...... 1��....�1........�r9t�eet <br />Lot..... _............ _..........__......._ —.-..-...,Block No ........ _.......... ... _......... <br />Addition.......f' .9::...LG�..%lt /1i�....:............................._.................... <br />Remarks .....`7Z< c .._..,Gk4�,�cr u�. r...._.._._..._....---- <br />............................... _.......... _::...._... <br />�t._.�............................._.._.._........ <br />........................ .......................~ �/1 / <br />................... _.............. .... _._... <br />rj . <br />................ 1.... }.. <br />t Superinte ` t I <br />L / <br />LABOR AND MATERIAL USED <br />No. Size <br />................................... Lead Connection Complete <br />..._.._......_ ...... _............................. Saddle Complete <br />............. __.... ft. .......................... ............... I ........................... _ ........................... Pipe <br />............._...................................... Service Cock <br />........__......_ ..................... _.I......... Service Box <br />No. Hours Labor....................... _.._.......... _.._. cost ........... .._...... _.... ....................... <br />Cutin .................... Pavement ............... . X....... _... ........ ... ........... _........... Sq. Ft. <br />.....X............... ...... <br />.....X............... ...... .� <br />. X ........................ <br />Total ........................Sq. Ft. <br />Remarks..��/. ..I..,� ..... ltA......................................................... <br />.......... ........................................................... _....................................... ..... .......... <br />....................................... ...... ...._........ _..... _....................................................... <br />OrderReceived..............p................................................;.:............-.........-........-.. <br />Work Completed;I:..r.?.::),.............................................................. / <br />Foreman 1 <br />