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// �' � �/ �_ <br />w. L. IORM J/�, O�, � <br />CITY OF E�JERETI'--VUater Dept. <br />:lpnlicatioq Vo...�.>.i_l!�. �. Datc...........4"...-.� .........................19...�>.�� <br />�tall ... ......................... inch water service pipe <br />. �} '� . � <br />For. ....4......... ..Y...'..... .%J.c..r.��.:.Cc.c c ..................... ............... . .. <br />/ i '/ "' <br />On ....... �.:.�..�i.........X._G2-..M..�.!............Y ........................�--....._ Street <br />Lot.............................................................. Block No..................................... <br />Addition......................................................................................................... <br />Remarks.........................�... �........................�..............................._................. <br />.....................(...: {rf.GwU:}GLt�.:..:«.�.� FL..............................."'.. <br />... .................................................................................................. <br />............................................ ................................................................................ <br />Superintendent <br />LABOR AFD MATERIAL USED <br />No. � Size <br />..............._.........�........._...�........._�� Lwd Connection Complete <br />� S:iddte Complele <br />............ ....._..St. _.........._............. .................................................................._... _Pipe <br />......_......_ ..............._.........._......... Scrvlce Cock <br />---......._ ..........................._............. Service Box <br />... _.. _.. _.._...._ .. . . .......... ..............................................._.................._......_.......... ....... <br />No. Hours L�bor ..............................................Cost................_........_.._................... <br />Cut in......_.........._Pavement__ ...............X..........._.._....... ......._...............Sq.Ft. <br />...................X..............._. �� <br />...... ..._.._.._........... <br />....................X..........._........... �� <br />................... .... <br />.................. �, <br />� ... .... .................. ....................... <br />Q� _ <br />Total ..............._.......Sq. Fi. <br />— --_ <br />RemarFs ......... ............................................. ................................................. . <br />.................................................�--� -� ----......-----.......................................... ...... <br />OrderReceit•ed ..............................................._......................................... .. <br />\Vork Comp:eted ...................................................................._.................. <br />Fareman <br />