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����� . <br />w. o. ronw � <br />CITY OF �VERE'IT--Water D�pt. <br />Application No..�;��:�.��... Datc......_%.�'.::!`..: :..`.::� ..............19:i:_='' <br />7nstall ...............................inch water service pipe <br />,. , ,..� / <br />Fcr .....::s,z,::�r......-r..->::;,..:-.._�:::>1.:.✓.:.::.:L.;l' <br />„ / . ......................... ........... <br />� /: � , ,/. ; ,- / . ' _.. � ,%.r .................... Street <br />On ............::.....:..............._.........,..,.......................... .. <br />T.�t -- - - - .................... Blocl: No...------.......................... <br />Ad�ition ............- -............_._ ............................._..... ..........................._..... <br />Remarks ' <br />_ <br />� � � <br />......i�.::.:.>.::....�.:::._::r ...::........ �. ........................................... <br />No. <br />............. i ..............................................................---...... <br />.�`,:��:�::� .::::::::.::::::::............ . ........... ........................................�--� <br />. ......g..-..�..�..6.7 ......................................................................�--....-- <br />I iBOR A.1'D :�SATERIAL USED <br />Lead Connection Complete <br />Saddlc Complcte <br />..................................................... ......................... <br />.............._................_.................. Service Cock <br />...................................................... Service Box <br />Fuperintendr.nt <br />.............................. P i P c <br />No. Hours Labor ..............................................Cost..... <br />C � ......................Pavement....................X.._......._.... <br />........................SG. Ft. <br />........................ .� <br />........................ �� <br />....................Total <br />........................Sq. Ft. <br />------ <br />Itemarks ............................................................................................................. <br />.................... - - <br />Order Received ............. <br />�Vork Completed........ <br />... .. <br />Foreman <br />:b: <br />