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s �.;���m��nt,., ' <br />W. D. forni ) � <br />Y "O��ERET i�-��``'Jater Dept. <br />Application No .....:..........:....:.. Date..............:.............::.........._-...19:....: <br />Install........_ ::....::.:...........inch water service pipe <br />Por........................_............. --- --.......... <br />On................_....::.......:,....................:.:....., <br />Lot............. ................................ ....... .. <br />Addition ........ - - --........_,...;.............. <br />Remarks .._....... ...--.........:.' ::..:.......:.. <br />._. f ,< :::......:...:.......... <br />.,..., ............._ _....... <br />...�..i ........ ......._;:.:.:...........................--..... <br />......_............ - ... -- ........................:... <br />l <br />............:.......................... Street <br />Block No.--•--------• ..................-- <br />, / �; � , , <br />- ,:....� . ..........:................................. <br />� :................................:............................... .t...._:. <br />" � Superintendent <br />LABOR AND MATERIAL USF.D <br />Na. Size <br />-----I �--- <br />.............................................._..._.� Lead Cc�nnection Completc <br />......................................._..._..._... ��addle Completc <br />. .. <br />....:::'.. �...........St . ..... .:....:...._......_ I .. __..:_.:..:................---....._...__.. <br />__ ..............__..... _.........__............ Sorvice Cock <br />.................................................... Service Box <br />No. Hours Labor..._........_......_ ..............--...._Cost.............................. ................... <br />Cutin ...................Pavement....................X....................... .--.....--............59. Pt. <br />....................X........................ �� <br />........................ <br />......._........_X .....................— �� <br />........................ <br />....................X........................ ........................ ,� <br />Total ........_.....__....Sq. Ft. <br />_-- -- <br />�emarks.........._ ........... ..........................._......................._.....- .................... <br />Orderlieceived._ ................................................................. <br />1�'ork Completed..:+'�.,L1�.'/.7...----...... . ' <br />........... ......... <br />Foreman <br />