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S.1.�rie6�f in F i�� � � ' ,' <br /> W. 0.Far . <br /> IT F ERETT-��VJater Dept. <br /> i <br /> , � , , ; ; ,� <br /> Application No...�-�-�?..__...... . Date...- _.._.. i.......::..._.............19..:._ <br /> /� Install...........:...::i.._..._....inch water seivice pipe <br /> P'or � ' ' � -� ' ................:. `_ � - <br /> ..................`..__'.-......:_...:...........:.:.._......_.. ........................ <br /> � � <br /> On .._......_l.�_��............:.:..`...:----.......::.... . :. ..._._...............__. St:eet <br /> T.ot....................... ............._............. Blcck No.................................... <br /> Addition ...._.................._..................;. ............ -..._...................,-.................. <br /> ` , ,. . . <br /> Remarks 1 r . ` � :c. � . <br /> ...... ..__. ......._.... ��--�--- ........... -•-�----........_....._........__............. <br /> ................................�....................................................................................---- <br /> ; <br /> .i�............:..�,',........._......:.----........................................................_---................. <br /> ��� r •' � � � , <br /> L... .............................................. ......................................".. <br /> ................. , . <br /> � '� � � -' . ,.: <br /> .� ....._.....................:_l_....::."-........................._...--` --.........--.:............:......'..:.:.. <br /> � j ��, r � :�� �' Superi�itendent <br /> �, i , � . . . . . 1 <br /> - ---�--�,�__— __ —_ <br /> % LABOR AND IIATAR[AL USED <br /> i <br /> __.�u.� � Size � --- <br /> ���`-----�,------ <br /> � ....._.:._..........................................I Lead Connection Completc <br /> .........._`.................. � SaddlcrC�ln�plete <br /> ...........c�.....St.._�/../._� . _I ..........._.\.....i.hi`'...y.�,,-.�t��.?1:�-...:.........................Pipe <br /> .............. ............../...................... �ervicc Cocl^'V <br /> ..............................................._..... Servicc Box <br /> No. Hours Labnr..._.......................................Cost...... ... ......---......................... <br /> Cutin..............._...Pavement....._.......---.X......................-- -............_......_.Sq.Ft. <br /> i <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ............---...._.. <br /> Total ........................Sq.Ft. <br /> _ - <br /> --- Remarks..._..._............................_........_........................_.................- ....._- <br /> _.__.... - __.._..._..._.. .......---.._............................ ..- ---......----......-- <br /> ............_ ..._............_........................ ------..........- - -..... ........................ <br /> OrderReceived.........._.........................................- - .......-- - --............. <br /> \Vork Complcted...._......._......................._................:..__......_..................... <br /> Foreman <br /> � <br />