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s. .� �wma a,���� _ OU4.�. <br /> M'� O. IORM ] � �I \� <br /> C1'TY OF F.VEiZETl"--Water Dept. <br /> Application No..l.��r7.9.... ._.. Date.......Jen....�3.�... �95�...19..--• <br /> Install...........'J�....... ... .inch water service pipe <br /> Fo� ........'4r..a.....�;.has.,...,d.oyn.tnn..................................................... <br /> On ...........R.t....5�....?�ox...�ll..$....�......:.:..? � /'-.;�;: <br /> ..l...i:.:..:... .....{. Street <br /> Lot. ........................................................... Bla�k No..................................... <br /> Addilion .._. ......... ........... <br /> ..................... ............................................... <br /> Rcrnarks ............................................................. <br /> ............................................ <br /> __............. <br /> ....... Bxxtlnn................................................................. <br /> ............ ............................................................................. <br /> .................................................................................... <br /> .................................................................................... <br /> Superintendent <br /> - -- �— <br /> I.ABOR AND MATEftIAL [f3ED <br /> --_No. Size <br /> --- -- <br /> _-- <br /> ......................................_..........._ Load ConnecNon Complete <br /> ................................................. .... Saddle Complete <br /> .......................tt........................... <br /> � ................................._.....................................Pipc <br /> ._................................... ._.......... Scrvice Cock <br /> .........................__........._............... Servicc Box <br /> __ ..................... ................................... .... <br /> _�_'.�_ <br /> No. Houra Labor..............................................Cost........................................ <br /> ........... <br /> ut in..._......_.. ._.Pavement_.... ..._........X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �. <br /> ......._............... <br /> ....__.._.......X......................_ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total .. ..Sq.Fl. <br /> -- --- ................... <br /> Remarks._ -�-- <br /> ........................ . ... _...................................................... . <br /> _....................... _ _..._ ........................_............................... <br /> ............................................................................................. <br /> rder R^teived... ............. <br /> ... <br /> lVork Campleted.. .. _. I <br /> _ _ _ <br /> Forcman <br />