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A_5 •L ?66b f 5 <br />CIT60 E,f VERETT--Water Dept. <br />Application No_ --------- D°'c.. —/ -----------19 __ <br />Install...._ ;d--.- ---inch water service pipe <br />For ---- -- <br />t e /_. <br />On_.. �. .Q--ry�..� !t_y/%L:n_ =: Street <br />. — / ...6ilockNo_ �� G <br />Lot------•=----•- ----•----•- <br />Addition <br />Remarks -- <br />�..,{ c ---------------------- ----- <br />�2" "t="'��'•---------------------- <br />---•-- ----- - ---- -- -- -- ----- ----- <br />LABOR AND MATEWL USED _ <br />............... ........... <br />............. ft.._..._._._.._.- <br />Lead Connection Complete <br />Saddle Complete <br />......... Pipe <br />Service Cock <br />Service Box <br />No. Boon Labor ---------------------- Cost --------------- ___-.-_-__-___-_-__-- <br />Cut in ------------ Pavement ............ X-------------- --------------- Sq. Ft. <br />_._..._.._..X------------- --------------- •• <br />Total -------- Sq. Ft. <br />Remarks------------------------- --------- — -- / <br />•------- <br />Order Received -------------- ---- <br />Wotk Completed ___________ ____ eurem.a <br />