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. . _ �' ��1�VERETT-.VUater Dept. <br />A ]ication � �� �' C L =; � <br />PP No%l�,..._:...1......... Date...::......:- .........:.....:....... . <br />9 ; . � .. . . . . . ..... ' <br />— - Iastall......::.`t...._........._..inch water se <br />�._�,� . _— , rv <br />/ ice pipe <br />For ....._. - s� :`.:...1:.. L —t._-.i_ � <br />_..... <br />. ......... .�:..... .... � ..... <br />�:f �� �i. .............. <br />On .........................................�,....- • . <br />......... ...... <br />_ � , c r i. � ................ Street <br />. ................ .................... <br />Lot.............................................................. Block No..................................... <br />.4ddition ..........:.'.. --� . <br />.�...... <br />............ .......... <br />......... <br />Remarks .............. �I'zi't < ` 2 <br />. ..f _.^...� ...... ........... . ........................................ <br />,. <br />I - , �, . J <br />_.__..._.......�:.....4:.....J..� / ya�+ � <br />,� ....C^.(�........ C.i...5c::/�..`, i�........... <br />/ ..... <br />..................................................... <br />. . . ......................� <br />...................... <br />..................................... � �-- �i <br />.............. _ � <br />, `� { . <br />.. ........ .. ............................._....... <br />_ .............................................r...... • L- .' 4 ' <br />................:.*:.... � t-- <br />F ���t'=:-�� _ Sv�intendent <br />I.ABOR A\D TiATERIAL USED <br />—___.NO._ Size I <br />, ... _...__._ .............. <br />. _...... _._:::._...f t.l......�.:.:.:....._...... <br />_._....... <br />Lcad Cnnnection Comp]ete <br />Siddlc Completc <br />........................................................................ P i p e <br />Scrvice Cack <br />Scr: ice Dox <br />.... _ ....... _ _ .............. <br />.................. _... <br />No. 2iuws Labor._......._.._ .................. --�— <br />..........Cost ........................................ ........ .. <br />Cul in_.........._ ....Pavrmm�L ...................X........................ � . <br />, . ........................Sq. Ft. <br />....................X........................ ,� <br />. ....... _ ............... <br />....................X........................ �. <br />� ........................ <br />� � ....................X........................ �, <br />. ........................ <br />----' Tctal ..................._...Sq. Ft. <br />Re�narks .............:.. ' ---- <br />, <br />...:»:.�...<.: :. <br />.. ................._..................................._................ <br />.............................:..:............................................... <br />- .............................. <br />Order liecci�•ed....._ .......................................................................... <br />............. <br />1Vork Comnlcted.J._-_�.�..:..l ...::......... <br />._ .......... ...._.._ _....._._.............. .. <br />Foreman � <br />