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S.. PrieL� 4L "T ` <br />S. U. Pa <br />I VERETT--�X1at�=r Dept.( <br />Application No. �.V...%.oZ3.. Dat .:'. .. .. m;/ <br />�� inch water service pipe <br />Install .........��............ ' <br />V For .............. <br />..... ............. <br />On ........... �.al 1..._..�SCA�C Gl 4t1:* .................. Street <br />Lot...................................................... ... Block No ......... ........................... <br />Addition..........,).........................................._................................................. <br />Remarks...... j S-Aj—&.............._......_......,......._.._.............._........._.. <br />No. <br />Size <br />Superintendent' <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />.................. :J............................................. <br />._.._......_......_.........._...._j <br />No. hours Labor.............................................. UOSL.................................................. <br />. <br />Cutin ............ ........ Pavement ...... ............ X ...... _............... ........................Sq. Ft. <br />..........X........................ ,r <br />.................... X............... _....... <br />................... X........................ ........................ <br />Total ........................Sq. Ft. <br />Remarks .................. `..:. <br />............................................. _.-........... _........................................ ...................... <br />OrderReceive&.............................................................................................. 1 <br />WorkCompleted....................................................... .._............... Forem...._........an/.... //j' <br />