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O. J._,Pql[BC �61 ���� ♦ ' {/-j/' ^ <br /> W O. IOqM :i . .�.(.{- �U�� � <br /> I RE�T Water Dept. � <br /> Application No....,�.�r.� r�''. ,, /� J � <br /> � ... Date....:.:........�:...: ........................19..---• <br /> Tnstall �/ ��y8ter service i e <br /> .... . <br /> 7 ...............ir�, P P <br /> For ......_� _....�........ . .:C..:1.�,-c.:.�:!�i�::........_--.........._...._.-•.--- <br /> On ................ .' <br /> '�.. ..�f....----�-��-� ..::... . ......:.a_z�:>:�--.�r <br /> � ..._ Street <br /> Lot..............�.�.----•-��- ..... Block No...................--•---........... <br /> ..... ................ <br /> Addition ............................................. <br /> .............................---•------••----�--......... <br /> Remarks ............ . ..........................................._..........._...... .....---.............. <br /> �' -- -"�••!-��..t..-...:.:..1 ����n <br /> ...........................:...... .. <br /> ........., ......... .�.r,:� <br /> ....,.1,1..F.J.i.r�-r..�...e�....................... .. <br /> .. ...............................�--................_..... <br /> ................ <br /> ........�.�..............................•--�--.......................... - .... <br /> . .... <br /> ........:..... <br /> � . .. r <br /> �,,;;.�;L,q_; <br /> - `�f� . �S rinten3ent <br /> � � �__— <br /> "; •� � LABOR AND MATER[AL ��gED <br /> �:-.�", o i:� `:, Size <br /> 4v:�: " .., �- -- <br /> -zr <br /> n��• ��--*- - �•��•-•�•����� Lead Connection Complete <br /> ......... ,_. <br /> •.� , . .... <br /> ,,,;,k�...�i:. �..i. .:............ Saddle Com�lete <br /> '• `..�Yt ..../. ....... P <br /> ...:_;,..... .n <br /> ...... .c.:9 , <br /> ....... <br /> , ..�.............................................Pipe <br /> ............. ...........�..n.. !y.' 9ervice Cotk <br /> � ........ <br /> ................�...........yuta�!",......... Service Box <br /> ................................. <br /> .................................. <br /> No. Hou:s I.abor..............................................Cost....................... <br /> Cut in....................Pavement....................7i......._.... ........................... <br /> ........... ........................Sq.Ft. <br /> , ...................X..._................... �� <br /> ........................ <br /> ....................X..............._....... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> _ Total . .....Sq.Ft. <br /> -------- .................. <br /> Remarks.......�..,�(�n.n:�:�....F.?!y�,,,�..................._--- - <br /> :� <br /> ................................................................�--... ........._.. <br /> ........................-------.............................................. <br /> .............. <br /> Order Peceived.................. ................................_............ _...._ � <br /> �. _............... / <br /> �Vork Campleied...S�/.-Z�::,!..�..............................:�"�!� / <br /> 2.....�r.�:tcA�-:�'_..... � <br /> � Foreman <br /> �.-_�7 <br />