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5 <br />W. u. r,--m <br />CITY p A , VERETT--Water Dept. <br />colp7 c'p 4-8 4p <br />Application No. ._.. .. Date .._._-_......__..-..19_._.. <br />In,tall..--.---- inchwaterservicepipe <br />For._: -- ---. ---•------------------ <br />On. — - ------ - — -----------Street <br />Lot.------ -------------- BlockNo.... —------------ <br />Addition...................................................... <br />Remarks------------- -------- ---------------------•------ — <br />-------------- --- --- - -- <br />LABOR AND MATERIAL USED <br />_______________ _______________ Lead Connection Complete <br />............... ............... Saddle Complete <br />..__/---------- �� .. _. __.._.. Service Coc <br />r <br />_______ ____________ _------ Set%ice Box p� <br />-------- - ----- <br />No. Hours Labor.. .................-(r_C.,a!/�Irf__-_----__-._-______.____ <br />_ . Pavement ...... .2 X._.P!f-------- <br />Sq. Fe <br />__...... ___. X______________ _______________ •• <br />,O ------------X _____________ ______________ •• <br />✓ G9 - ----------x----------•-- <br />-�l / Total I <br />---------------Sq. Ft. <br />Remarks --- {.:I�v .----- --------------------- <br />----------- %-- - - -=--_-----------_-- <br />--------------------------------------------------------------- <br />Order Received ------------------------------------------------ <br />Work Completed --------------------------------------------- <br />Foreman <br />