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s <br />� � � ( � � /__i �� - �. <br />w. o. touw � <br />� CTTY OF �,VERETT--Water Dept. <br />Application No,.��: �! .... Date........'..'`_.........— = .............19 :�:.� <br />lnstall......_ ...................... .inch water service pipe <br />For ....................... <br />`.._. �,:. fs ................._............... -- - <br />.; �'�,- "' — ........._ ..................... .................. Strcet <br />On ........:..... ...... ...... ....................... <br />Lot................:..:�..........:............................. Block No.................................... <br />Addition ....................._._........... <br />................. ................................... . <br />Remarks ........!C.�t��t�,,l.a.f.c-.- ............................................................ <br />............................................................................_.. - - <br />�__ ......... <br />�. zc.:lxz��. .-� s� ......... .................... _.............. . <br />.............................. ...................................................... <br />_. _ ................_......._............. .....--....... <br />��� ������ ������� SuPerintendent <br />LABOR AZ�D MATERIAL USF.D <br />Nu. ' Sizc I �-- "-- <br />... ................... .................... <br />i <br />' cad Cnnnection Complele <br />tt .......................... G, ddlc Completc <br />.. _ _ ................... .............. ......._. .I <br />. ....................._..............._............. <br />_.Pipe <br />...................... <br />........... ... <br />. .........._ Srrvicc Cock <br />................. ......... <br />_........... . - <br />...... S •r.•icc IIox <br />. .............� oe..._.........................._.___ . <br />No. Hours t.abor__ .............._.._........ <br />. ._.Favcmenl_...__.__.._..X ..............._....... ............_..........SQ. Ft. <br />Cut in...___._. �� <br />..........._.......X ........................ ........................ <br />..... _ _ . _ ........X ........................ ........................ <br />.� <br />....................X........................ <br />....�......� �� <br />Total .................__...Sq. Ft. <br />_--------_ <br />. ....................... <br />Rein a rks .. ................................................... <br />.............................. . <br />..._ ............._.....:..`j....._..._._......�..�....._�.._.....�.�_'......................._.�.......�..__.._.........��... / <br />Order Recci�c � <br />. _._....._ _..._. ..._ ............ <br />1b'ork Complctcd....._...._.... ...___.... .._.. .._.. _. <br />Fareman <br />