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CITY OF F-VppiRETT--Water Dept. c <br />Application No...Da/te...... _..... i.3.._.....19.......7 <br />Install .............Sp......_.._. -inch ater service pipe <br />For ................ <br />. _• ........... Block No ......... ........ ..... -._..... - <br />Addition / ._ _ ....... <br />Remarks t0..... l I P .......... <br />.............. y/Z,C (k�l srt .......... ....... <br />............. ................ <br />- - /.....'...� �q...................................._._.............. ,.. <br />.......... ........ .----- Superintendent ✓(%� <br />1i� I <br />era 11 <br />%J —J, o- LABOR AND MATERIAL USED <br />No. <br />Lead Connection Complete r <br />,�._...... _.................._..... ..S�nldd fete_ ��..1 � °^-• = ` • <� t <br />x:f.!3�4 ...a.r...�.r F..L _...._.Pipe <br />.............. <br />,1. .....b.....t,..La�- ieww�oei�' {itt�ir yr yfrlty <br />.,.- -_.._. Service Box <br />" -- ..._... _.. <br />No. Hours Labor ........... _....... ................. ................ <br />Cutin ............... Pavement ................... X ................ _ ..... .....................-Sq. Ft. <br />...... <br />Total ........................Sq. Ft. <br />.................... <br />.. ....... <br />................__........._............_..._.._.. <br />.............................................................. <br />OrderReceived ................ ..... ............. _............ ............. ..-...................... <br />... _ r.t.t.GG.�..:......_... <br />\fork: Completed_dLE.-•---•---- -- Foreman <br />