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s c.m�ce[a�/li����• . . .,.� �7�I� <br />w.o.ronw�' <br />CIT O ERE�'1=-Water Dept. <br />_ � _ ,S v <br />Application No1J..s.:: S �%.... . Date..,..�:.....,.....�� .............._.....19._... <br />For <br />On <br />Rddition <br />F.emarks <br />O� <br />No. <br />water service pipe <br />Block No_...�.1....._�?.G <br />LABOR AND MATERIAL 03EP <br />Lead Connection ComFlete <br />Saddle Complete <br />Service Cock <br />Setvice Box <br />/ <br />No. Hours Labor ..............................................CosL.........._.............._....................... <br />Cutin ........ ...........Pavement....................X......._............... ..........._.._.......Sq. Ft. <br />................... X............... _.._... .� <br />..._.._......_....... <br />....................�C..........._.._. .� <br />...... ........................ <br />x .� <br />ToWI ..........._.._.._...Sq. Ft. <br />� • � <br />Remarks.... � •• .�.:.._. ` <br />�........�......... ...... <br />OrderPeceived ................................�..._...........-•---...............---...................... <br />\Vork Completed.� ..^ �%a..::. !�?.,.r1 .:::..........:.......................................... <br />Foreman / <br />