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I <br /> W�Form e�`'E'�S� ' ]� \` � <br /> CITY O��VERET�---�Jater Dept. <br /> C9PPEh _ = , , <br /> Appliwtion No.---_._....--....... Datc--......_....__.....:......:_..:_.........19_'.:.:-:- <br /> InstalL-'--'...:..:::......._....incli �e::tcr xnticc pipc . <br /> Pur .....-�---......------......................................._.._..................._........_.._._............ � <br /> On -_r.......__...:..... --_.......:.::...:..... :..................:..............................Strcct <br /> i .. ;, �� r./ .�; .. . . <br /> 7 i .r <br /> Lot......:.......:......r.........::- .....'_ ........... Bl«k No..:._... -......_:.. `- ........ <br /> Addition ........._................................................................................................. <br /> Rcmarks ..................._..............---.......................................................... ....... <br /> ........._......_ ..............:.......:........:.::.................................................. <br /> T................. <br /> ...............................""'.................................................................:......:................. �i <br /> ..........................."""""......."'"'"""..._........................................................................ <br /> . �. . ^. <br /> ..... .. .....................I.....�..........r.......l...l..i...(��..�............. <br /> � � Su�rednlendent <br /> (� . Ci . (.. � /r-,' <br /> LABOR AND TSA�'CHRIAI. USCD <br /> No. Sizc <br /> �.--_.—___..—_— _ <br /> ........................... ........................ Lcad Conncc!ion (Jumpl.:c <br /> ................................................._ SaJdlc Complctc <br />� '–....................f t...................._... ....................._............—........................_Pi p c <br /> ..........................."'..................... Scrvicc Cock <br /> ................................................... Sccvicc Bax <br /> ................................................�....................._........................................... <br /> INo. Hours Labur.......................................Cost................................................_............ — <br />` .. . . . . Cut in........................Pavcment....................X.......................... ........................Sq. Pt. <br />� ........X.......................... ........................ .. <br /> ............ <br /> :�. . <br /> F ,.M,�,i.� . <br /> ....................X.......................... ........................ ' <br />� ...................X..............._......... ., <br /> ........................ <br /> Total ........................Sq. i'[. <br /> Rcmarks............................................................................................................... <br /> ..........................................................................................................."-�---.........-- <br /> � . . ................. ......................................... ................................................. .. <br /> . <br /> ; a,�X ���„ �.. . ' <br /> i, y � Ordcr Racivcd........_..........._..... <br /> .. ........... .............................................. <br /> : � _ . ,`vX J,.. . <br /> _, ._ W"ork Complctcd....................- -� ................... <br /> ................................ ......... <br /> ro«�,��� <br />