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' SV.D.Fbrm 3 I500 J-1-17 C.P. ' _ <br /> ' C!�`V OF F_VE[ZETT==t��ater Uept. <br /> Applicatian No.__70_ll. _ Date---- g/� __.191 'rJ-- <br /> �/ � Install__. -l_�/-- --inch ��•�fer s�r��ice pipe <br /> I`or_'-Z.c1'4l_t,�(.—f-- ��_(}{i�v+._�'-_v'1�✓u-c.J--�--- <br /> z-- -- -- <br /> On-- ..-2-2�- 6-�---- Street <br /> --- - --- -- - <br /> Lot. __/_�_c_!_JJ_ .__. _._Block �lo.__-.d�. c/-_. - <br /> ---- -- <br /> Addition-__-.-- -- _ - <br /> _—.- -- - -- -- ----- ---- <br /> Remarks----- -- - ---- - <br /> . - — --- ------- - ---- --------- <br /> � --- <br /> . I ---------- ----- --- ------ <br /> --- ___ <br /> ----- — --.-�-/ <br /> '��_�'7-CP_�`-_/�'� ��-/-"/-l. <br /> " °Superintendent <br /> LAL'01{ ANU 11A'P1;RIAI, USED <br /> NO SIZE — _ <br /> —_— <br /> % <br /> ---'- --- '-- `'�'� Li ad Connec[inn Cumplelc <br /> _.._..� .. ___ _ . O " . .. S;uidle �mplete <br /> .;,,q� _HS'_.r�. 3/ _.-.�.-� <br /> „ <br /> � ---�-- ' -'--�-------.Yipc <br /> ____�.___"_ _. `� SnvireCnck <br /> :r.. <br /> ___'�__"_' _"� ___ Srn�iceBoX <br /> "_._'_' _"'_. <br /> --_---_— --.___—._ / / <br /> No.Houral.�bor._�6_._. _ _._._ L'ost__l�C� •.Q. <br /> �.�/� - 7 - --- -- - <br /> Cuts in-"=T'r-'�..yPaccniu�t . �1.��.X.({Q ��.... <br /> v � --�-�`.Sq. C�. <br /> .. ., fti.^+-�..� .wn.1/L_ ./Y _%-Z/f ._.-- --�--"�--� �. <br /> _. .- . -.-X_ .__ ,. <br /> -- -�-- ------�-- <br /> .. ..- --��----- - .. <br /> - ---- ------- <br /> ��, Tolal. . 7�-'S.��_.Sq. F't. <br /> . _ —_.--.—�_ <br /> Itemurks.-- -------------- <br /> ----�--------------- -------- <br /> _ - _ - - -- -------- - --------------•-------- <br /> __.._.- --- - _-- - <br /> Order Received _-- - _ . _._ -- -------- ---------• <br /> - - <br /> - ---------•----- <br /> 1i'ork Completed _-_-- - -,- <br /> .__�- - - �. <br /> -- ---------------- <br /> Forema� <br />