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�2D2 3 . � gJ�y <br /> 0. ... PRI[![ Y 1•6 <br /> W. O. IpRM ] � <br /> CITY OF E�JER.ETC=�JUater Dept. <br /> APPlication No...../�o.a� 3at��........C.�-�?'k-C�� �A2.19.�`..5� <br /> . ,... <br /> .. /,� <br /> Install.........-..1:............ ip�water service i e <br /> PP <br /> For ..........4G.J�.....�:......��.`tnc.�..: .. ... - Street <br /> ; <br /> ............... <br /> , on ....................��.'�?......�.a.:f:� . . ... ...._�.:....-�----........ <br /> Lol................-------•-!. la............---•---- Alock No........_...---........---.......... <br /> � <br /> Addition ............. ... ..1..�:z�,.rt<.<,.s�........................... .... ' <br /> r�......--..... <br /> Remarks ..........._ �... �.Rr�t-f{r��.�'7.�L�f.�f..�_....�..�._�.....�.':�'.-?.^�-�-c�� <br /> .......................""'......... ............._........._......."""...................""............."""........ <br /> .........................................q.�..................""'................."'............�......."'......... <br /> .................................�T''..`.,�........ . Pv <br /> . q/� .. . ... <br /> . ��.. . _"'......""'......_......y. �/ <br /> .... .... ..................��.�... X/ .�C/ ��L�x.eJ <br /> �� �,e. ............................--...........-Superintendent <br /> LABOR AND :HATER[AL USED � <br /> No. Si�: � <br /> ................................ ............... Lead Connection Comp]ete <br /> ..............._..............__........."-....... Saddle Complete <br /> � � <br /> ..................�..St......'�:!................ ....�...a!n. -�':f:Y._.............................................Pipe <br /> � <br /> ......................1......._'''.:.J.:............... Scrvic� Cock <br /> .................._.....:........�.........,......... Scrvicc Box <br /> No. Hours Labor..............................................Cost......................._........................... <br /> Cut in....................Paveaicnl....................X......._............... ........................Sq.Ft. <br /> ,, ,�-3 ...................x..........._........... ......._............... �� <br /> '��`�..�c..s�.,,.• ....................x........................ ........................ �� <br /> ...................X........................ �� <br /> ........................ <br /> Totul ........................Sq.Ft. <br /> --------- --- <br /> � " " - <br /> Remarks...........................�:..._.!;::::.:.:....�..-.._�:_:....':.'...:._�..c.......:. <br /> .:.:.'.:� � <br /> ............................................._.:.C:_`1:`.at..;1...zaal_.�.:..................................----" . <br /> .............................................................................................................................. <br /> OrderPeceived.............................................................................................. <br /> \Vork Campletcd.�r:.�.-.::�.;.:.:.'-:..'.:..............: '%' .�" r.,-v ; ` <br /> --.._.......... ........... ............_. <br /> Foreman <br />