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<br /> W. O. IGMh �� �� .) ,1( .1, .�>
<br /> CI CY �F EV1:R�TI'•-Water Dept.
<br /> Appltcation No.1�:�'...y..l.... Date. .
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<br /> � I stall.. .... .�. ..�.... .inch water r,en�ce pipe
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<br /> On .............�....�..:,1�....�J..._i:.�.::�?:`.::'..`.:::.!.`:�.......�...y.......�.........�. Street
<br /> Lut..........,i...�....i�..�.�........ ..._......_.._... Block No. ...6 :.-.r.=.!._-'....:.-7...� �:
<br /> Addition L '
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<br /> ��..��f � :� Superinlendent .�
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<br /> ABOR AND MATA.RIAL IISED
<br /> I�o. Size i �
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<br />� .....................................................� Lend Connectlon Complete
<br /> ..._................................................. �.ddlc ComPlete i
<br /> ......................St............................ .......................................................................Pipe
<br /> ..............._..................................... Service Cock
<br /> .................._........................,......... Service Bor.
<br /> No. Houra Labor..............................................Cost....................................................
<br /> Cut (n....................F'avement....................X......._............... ........................Sq.Fl.
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<br /> OrderPeceived.....................................................�1...................................
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<br /> \VorF_ Comple:ed....:.:....:....:....:.:.......:.:...�.:,................................... ...............
<br /> � Foreman
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