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5 1.Pri.M��39e ;� <br /> W, D.Pem y�, <br /> CITY O� 'c VEREIT--Water Dept. <br /> ApplicationNo..... ......::. ........ .Date................................................19...... <br /> Install.....,!�r....................inch water service pipe <br /> Fo� _... ................................... <br /> .................................................................. .. <br /> O:+ . ...:...........:.............�:._....`'..i . , ,, <br /> . . .. <br /> _........... <br /> . ...........:........................ Slreet <br /> I,ot..... ........ .............................................. Block No...............................---... <br /> .�ddition <br /> .......................................................................................... <br /> Remurks ...............................................: <br /> .......................................................... <br /> .. .............._-:, <br /> �................................................................................................. <br /> . .....:._.......:............................................................................._....................... <br /> ;� , <br /> � <br /> ;; <br /> :. . ......:...._�................................................�.r <br /> � .......t�......._.....,......................... <br /> � <br /> .._.........................................................:.......... � , ' <br /> ........�.................................. <br /> � , � Su}�edntendent <br /> �LABOR AND MATERIAL IIBED <br /> �No. Size <br /> ._--- � --�----�---- <br /> — ----- <br /> ...................................................._� Lend Connection Complete <br /> __ . ..._............ ..........._........... Snddle Co lele <br /> ..._....�f.4�.....lt............................ � .Pipe <br /> __ ... <br /> ,�... .�.£,'t............................ <br /> ....__._......._.............._................. ServiceCoc <br /> ._................................................... Serv(ce Hox <br /> ....................... <br /> Nn. Fiours Labor..............................................Coat.. <br /> ..................................... . <br /> Cutin...... .............Povemcnt._.................X........................ Sq.Ft. <br /> ...................... <br /> . ..................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X......................_ �� <br /> ........................ <br /> Totul ........................Sq.Ft. <br /> a�— �—��� — <br /> y_ � . —_ <br /> � <br /> kemarks....r.... �. <br /> ....��.......: !. ............._......... <br /> ,......._.....,...... ........... <br /> ............ <br /> _. .......__._.......... � ':� � � , <br /> .....�.........�......�.......:� <br /> ,................__..i.:.t,�,,,.................. <br /> . .................... ............................................................................................ <br /> Order Recei��ed..........._... _... <br /> .................................. <br /> .................... <br /> 11'orl; Cnmpleted.__.. . ___..._ _ _ _. <br /> _ _..._ ..__................._. <br /> Foreman <br />