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0.'. U. Form J <br />66 <br />f3 <br />CITVVPFJYVERETT,,,Water Dept. <br />Application No.- �..= . �.... D 19 _' <br />install.___'f v.,-,_!__inch water service pipe <br />For ✓t_c 1-. �,., I <br />Lot <br />......_3 b 3 y Block No 7 4 /yy3/ <br />Addition <br />..-. _ <br />��jj <br />Remarks / _-2- .. � <br />LABOR AND MATERIAL USED <br />. .. ............... ._.............__.. <br />- ------ -- ------ <br />Lead Connection Complete <br />_...._._.._...... ... ......... .............. <br />elo �._.._tt . i <br />Saddle Complete <br />....... .._ .... .... _.. .. <br />Servic it <br />... .__._ _._ ...... _. <br />Service Box <br />..�.. <br />_.. enaaC. .. _.. <br />I <br />....._ _. - <br />No. Hours Labor) � - -- _-� <br />._i/ca..r Y.r2f.c°a:r.::CnsrJ... j0�—...__ <br />Cut in __.. ...... <br />_._ ___..._ <br />Pmement._.............. X . <br />-.. .......__Sq. Ft. <br />. <br />_ X .. <br />% w dZ'. <br />Total <br />......__...__..Sq. !K. <br />Remarks <br />Order Received <br />..... <br />Work Cc •t.pleted <br />Far�m�n <br />