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. / �/. <br />VJ�D Porm) ��Vl r ,`�. ^�•.G f" �lC� L� �r <br />�ERETT--VUat�.r Dept. <br />' , �l ,_- ,.�', �� � � <br />Application No...�..��...:�-�..._ .Date...........-�-----� ..::.........%.........1�J..--�- <br />Install.........:a/y.� �.`..........inch water service pipe <br />,- . .. . <br />For ............ ................................ ..............:......... ..........t....................--•-- �- - -- <br />a ,f r�� I. ;, s--�.�. ,.----...... Sti eet <br />On............: ....,....�t..l............ ...::..-._.-.=" "•---c,:........----�--.. <br />r,.� — --.......... Block No.-----.........----•---.-.-""' <br />Addition...............................................................................�----� •--................. <br />� n <br />Remarks � •••••.S� <br />............ ............................. ................................. _............--� �----• <br />�_,`'.���Ll..�_.^..:� R'�..r <br />-- ------------' ................. <br />Size <br />� <br />LABOA AND MATERIAI. <br />iLead C��nnection Complete <br />5addle C��cnPlete <br />.............. .. .. ........ � . .. ...........................P iPe <br />Scrvice Cock <br />� Ezrvice Box <br />� <br />No. FIours Labor ................................................�o�.................................................... <br />Cutin ....................Pacem^_r.t....................X........................ ........................Sq. Ft. <br />....................X........................ ....................... <br />�� <br />Order <br />CFork <br />....................X... ................... ........................ �, <br />Total ........................Sq. Ft. <br />