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e. d. rnaoc z.. �� `/ � � • , �;1 3. �1' �..� <br />w. o. rovr+ a <br />CITY OF 'c'VERE i`T--Water L►ept. <br />Applicntion No..._..:I.�sta �� �� Date_.... �.. -�'..;i2.:C......�........l�l...� <br />- ll ........................��.inch water service pipe <br />For._ ......................._.......... . . .. ...._---.........-- .....---..... <br />On ..._�.-)r...�1...��...�._... ..l!7�'J.2��.,�.�� ............... Street <br />. <br />�. . ..... .... . <br />Lot........_ .................._ _..... --........--.... - Iilnck Na..................------.......... <br />Zdclition......................................................................................................... <br />Remarks........... ................................................................... .................... <br />No. <br />................. ..................._ .......__.--• •- . . <br />Superintendeni <br />LAIIOR _AtiD 11fATER1AL USED <br />-- -- <br />_.,....____... . 'I :cad Conr.cr.tion Comnlete <br />.................._... Saddle Complete <br />....................... <br />........................................................................PiPe <br />....._ ................ Scrvicc Cock <br />................._.... Setvice Box <br />DTo. Am�rs Labor........._...._.__ ........................Cost........................_.._._....._............ <br />Cutir .....................Paven:ent.,.................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />............. . .......... <br />..........._.......X ................._..... �� <br />Total ........_.._...__._Sq. Ft. <br />--------�— <br />Remarks_ ........................._.............................................................. --.........__. <br />........ ..... ................... <br />................... - <br />OrderRecci�•ed ............................................................................................... / <br />\Vork Cmnplr.ted ................................_.......................................................... / <br />Foreman • <br />� <br />