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_. �a� o.r:�.,...., �son a-:.., .:.. . . 1,,.. <br /> CITY OF C�'�[��"CI'==��'ater Dept. <br /> ApPlication No.�_��_�__ T� �te--- --��-7---�`•��3 <br /> Insteill � inch ���afer ser��ice pi��c <br /> �_ `� _ y—/—�-� /� � <br /> ` -- - --`3J�`�1�--�`_---- ----- <br /> I�ot'_��l_v?1'--T`-',-<-��cC_ Il". <br /> On-- ----- � `/_3v__ ��t�aJ��. .--- streer <br /> -- -- <br /> t.oc --13_'--���- ------.Y���i: vo.--6-�'�-- � <br /> E�aa�c;o.,----------- -- --- ------ ------= ----------- <br /> Remarks----- -- - --- ----------------------------- <br /> ------- ------ ----- - --- <br /> � _�_�_,`7 C Zs_ -m_ -- a-�; <br /> Si P�4int�ec +u��... <br /> i.asoi; ��.iu niaT�tttat. usrn <br /> - NO_ SV._�� � � _ p <br /> _ ""'�__'__ '_ � I L��xd Cunnectiun Coripirlc(�+ �✓Lo+^� <br /> _' �_ <br /> __ <br /> . �____ �.X �a �-- yaddleCnmpletc <br /> 9 ,. �C.CtT.. ________F'ipc <br /> —3 4---fc. 3 /y <br /> __ � ._�Cr_____. . Sr imCurk <br /> Service l3ux <br /> ___ ________--_—_._---- —_ <br /> i7o.Hours Labor___�A._-__._ _ . ._..CosL__Ly 3�_.__'_�_ <br /> '_'____'___. <br /> Cuisin_--_____._ -- Pavrment_-.__.._.x_._.-_.__._ _'.�`'__ -Sq. Ft. <br /> __.__._X..___. ._____ __________. <br /> .. <br /> . .-. - -_-X_._________ ____________ •• <br /> 1. .. <br /> ._ .-- _.X-___' _'.___ '________- <br /> "foial. ____'_______Sq. Pt. <br /> --_,__ --_——_--.._._ _—_.--_. <br /> ltemarlcs.---:..r':_1_Siiiol�9,�,�y7v:�• 5 �-- ---- ------- <br /> Order Received ---------- --------n— ----- -- ---------- /; <br /> . 4 _ �L �__""_"_ <br /> Nm•k ComZ�leted _C�._�cd��-�-��L{" '�'u' - - --- <br /> Poremnn <br /> L <br />