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' ' ��e39: O �/ . .__.� --..___ <br /> N.U ' <br /> C Y ��Vi:RETT--Water Dept. <br /> Application No................._...... Date.............�?.�.i,.._l.............19.y � <br /> Install................................inch water service pipe <br /> For .............................................. .:............................................................... <br /> On ......................... ..........�---...._........._.. .........--.: .... Street <br /> ......................... <br /> Lot......................_..._.......-..-... ......._...... Block No.------�--..............-----... <br /> Addition ................................. ............................_..........:. ' ; <br /> .....................-.. <br /> Remarks ................... ..................................._........._........_......--�-- .......-- <br /> .........---......................_..................._......................_...--......:_:........................... <br /> . . <br /> ....:.........:._......:.,.__...............................---....................................------�----...--- <br /> , . , <br /> >�,,. ; <br /> ...........:..:...>.....1............:._.:...... ............ ........_.........._...........-----�--.............. <br /> .;��, � - <br /> �.. . <br /> ._. . . .:......._................................... .......................................... <br /> .... <br /> � i Y,�%��' � ' Superinlendent <br /> �'t���1 � .- <br /> � ��_� LABOR AND MATERIAL USED , <br /> No. Size � <br /> -- -- -- <br /> .........................................._..._....I Lead(((C���onnection Complete <br /> ..........�._.+.._......................p......� Saddl�Co plete • �� <br /> ............L�(...._ft....._...�.............I ......:'..�..................._:V.�f.f:��.......: ......Pipc <br /> .. <br /> ........................_..........._._.._....... ServiceCock U <br /> ............_.........................._........_. 3ervice Doa <br /> No. Hours Labor..............................................Cost...........................................'.--'... <br /> Cutin....................Pavemenl....................X....................... ........................Sq.Fl. <br /> ....................X........................ �� <br /> .......-............... <br /> „ <br /> .................. .................._...... ........................ <br /> ....................X........................ �� <br /> Total ........................Sq.Ft. <br /> ------ - ------ <br /> Remarks_-- - -,.::.:...':::....:.....i:...,�...--......................._• ....................... <br /> �.... <br /> ............... - ....._................................................................-•-----.................. <br /> ....................._....................................................::...�'_..f�.:_....,.:._.:..... .:.. <br /> , ,,, y. <br /> Order ficceived...................................._.........:. , . <br /> �.....:... .......................�. .... <br /> '.Vork Completed....................................__................................................. <br /> Foreman i <br /> • <br /> a <br />