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.37�0 �._?' ; <br /> .. u. ronH o� •`. , ' . <br /> CIT�Y OF L-VERETT--Water Dept. <br /> , � ;; �' r,�c � ���, <br /> Application No._. ...-_....... .... �Date......................... ....................19...... <br /> Install..........................�.inch water service pipe <br /> / . , . <br /> F�r ..�_.?1;...f�.(.l�.c <....:Z:........ „>.;z;..�:�a..��.�W_!............... <br /> , n f S �'�:r.:Y.....�t..2:s".7_-..!1......._............... Street <br /> On ......,,�y...... ....... .� ... . <br /> Lut..,�(:.O..at...���:t.2................ Block No........... -....................... <br /> :idc'':ion ........................................................................................................ <br /> Remarks ........................................................... <br /> ............................................................................................ <br /> ...................................................................................... <br /> ............................................................................................. <br /> .. ........ <br /> ......... .......................... ... <br /> ..._..............._..................._..........,. <br /> ����������������� Superinlendent <br /> —�--_ _ —_ <br /> LABOR AND MATERIAL DSED ___ <br /> No. i Sizc I ___------ � <br /> __._ <br /> .................................. <br /> ,,,,,,,,,,,,,,,I Lead Cnnneclion Complete <br /> . ..._._........................._............. <br /> :addlc Complete <br /> ...................... t............................ <br /> .. ._._............. <br /> .................__.._.................._....Pipe <br /> ........................... <br /> .......................... <br /> Scrvice Cock <br /> ........................... Scrvice Eox <br /> ........................ .T....................... <br /> . ..._.............._..._........................................................._... <br /> �.�...�._......t�............_...._..____. .__�.......... ..�.._�........_..........._.............._..............................._.�.._._..... <br /> ............ <br /> ........ <br /> . Cost._.._....................___................ <br /> No. How�s Labor_..............._.......................... ........._...._......59.F't. <br /> X_................_... <br /> Cut in.................._PavemenL__................ , <br /> ............__....X......._.........._... ............._...__.. <br /> . ..................... <br /> .� <br /> �)i��c!, �"� /� �P2 0 _ . ....... .._................... <br /> x....................... <br /> _........_. „ <br /> ....__ Total ..._.._._....._.....S9.Ft. <br /> .—'_--- <br /> -_-- <br /> Re m a r ks............. ............................................................................................... <br /> l'�- 'a ,�._ _a.l........Dr�:.. .., .: ;..........._......................._........ <br /> _ ..........._.,. . .... .. <br /> .......... <br /> ............... ..........................................................................�........ <br /> OrderI?ecciced_.._.........................._-........................................... ........._... <br /> ._. .._.._. . . <br /> \Vork Complcled......_....._........._............................ Farc an <br />