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5 J.:d.�U�,arL�-4 <br />W. D. Form3 �� �� (, <br />C Y O RETT--Water Dept. <br />_ - , ,,, <br />Application No._�;:'....:.:.:...%: Date ............. .._ :...::..::::'................19:.-- <br />,_,, . ... <br />Install ......::.:...'..:..............inch water service pipe <br />For....................................................... <br />, <br />t "'_ <br />, „ <br />On............._...--......_ :�-- .-:... ......- <br />Lct...._... ... _ .. ....................' ......:.......... <br />Addi[ion ........................,..�.:.,.......-- <br />Ren�arks ........................_.:::..;.:.:'...;. <br />..................._.... ................._ ....._.......... <br />............................................................... <br />_ ..................... _ _... --.... ........---........ <br />B1ock <br />.... Street <br />„ <br />��' ,...!. .................................... <br />....:. ........ <br />........................................�--........................ ..- Superintendent <br />LABOR ANL 11fATERIAL USED <br />No. <br />Size <br />Lead Conr.ection Complele <br />Saddle Ccmplete <br />................................ <br />Setvice Cock <br />Servicc Box <br />................................................... <br />................................................... <br />� <br />Pipe <br />.... <br />No. Hours Labor ..............................................Cost..............................................-- <br />Cutin..._._...........Pavement ....................X..........--........_. ...................._..Sq. Ft. <br />....................X........................ ........................ �. <br />....................X........................ ........................ .� <br />.................... Y........................ <br />........................ �� <br />Total _..... _ ..............Sy. Ft. <br />------------- <br />_ ..... �..._..........._.........__ .............................. <br />P emarks ...................................... .. <br />..._........_ ....................................._.......................— - <br />Order =.eceiaed....- .................................. . 1................... .............. <br />��=�� <br />�Vork Completed.. 5l..�..`.�.�_Z.......�'^._f_ 4N?.'/...__ .................. <br />Foremar. <br />