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i. J. CPIiOC � � � � �� L��� <br /> M'. b. IOnM ]� <br /> CITY OF F.1�ERI:'7�I'�-Water Dept. <br /> Application No. ./..�./..���.... Date..........._'o.<f...��._.......19G.." <br /> �..........inch water service <br /> Install........._`.....f.� pipe <br /> For ...........r.CC�s.:ac..........cP.CLc�s...,r...:v.............. ...................................... <br /> On ....._��....�.G.�a.i........C�t-�-"-c� Street <br /> �. .......................................... <br /> LoL.._j�-.%..>....-...._:ir.�................._ T11xk No..........'.�..�..'..................-- <br /> Addition ........................ ................................................................................ <br /> Remarks ..._�l.�ccs�r....:��::«<s,�.........__................................__..... <br /> . L - ��fi�e,c'4,- <br /> .._......................................... .f:_�.......----��.. ..... ....-------....._ <br /> .�. <br /> � <br /> � � ��e����................"-... ................................................................ <br /> G�::�:::: ::.:::...... <br /> . .............. ................................................................ <br /> � . ,�v /.....�...... <br /> �„�� ,�.��,4�.....�.,�.. ...............................�..:�......� <br /> .j'-" ���-� i3fo�d'��������� ��� � Superintendent � <br /> l., - ,.,- �� <br /> _�� �..� k �0____ tih. cd <br /> I./�BOR AND MATERIAL USF.D <br /> ...crd Cormection Com�l' <br /> No. Size <br /> — -- - <br /> .....................................................I ' ete <br /> ............./.................................._..... S�ddle Cemplete <br /> ...........L:.:�..tt...._��:::............. ...._;:..!...':.:...t............__.................................Pipe <br /> .....................'...........:'.:<::-............. Scrvtce Cock <br /> ...................................................... Servic� Box <br /> .....................'-.............................. ..........................................................................._................................... <br /> ........................... ..........................� ................................................................................................................ <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Ya�•ement....................X........................ ........................Sq.Ft. <br /> . ., . _............. ......X........................ ......._............... <br /> �� <br /> . L . ....................i�........................ ........................ u <br /> ....................X........................ ........................ <br /> Tatal .. .................Sq.Ft. <br /> c ----��.-- --- --� - <br /> ; /. /i <br /> - !r:r�....:..rS'..Gr.:F::...:................................................. <br /> Remarks....................�...... , <br /> 1/ /.' ,,: <br /> /•...�i1_�..::.��..r.Y:s:[.'...:.:::..:..:::..t...,............... <br /> _. .................................. ....._"..... <br /> ....................................�..::.:d:��:�.:L.:.................................................""......." <br /> OrderRecei��ed................................................. ............................................. <br /> \Vork Campleted..:i.:..:. '.1...:��':..............: ....?��..:..:..r...-.........._.. \ <br /> Foreman <br />