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v . �3,� � 9 . -. <br />'J. J. PNIC�E lM � �' •1 ) <br />W. O. fONM S <br />C1TY OF E�IE:ttETT--Water Dept. <br />.: - , „ ti-�Lc_� / � <br />, <br />Application No....'._' ...:[.7.;:.� Date......:...;.: .........._ .............--..19...:.� <br />Install .........................i . .inch water service pipe <br />� Street <br />For ................................�.. . ....__.......... .. .�.......................... <br />on .. �.-�... :3..i....�. C!`.1 k�-C.-.��..........�% .................... <br />Lot........... ................................................ Block No..._...............----........_..... <br />f!ridition .................................__.._....._..............._........................................ <br />Remarks ...........---.... -� ........................ <br />...._ ................. ................ ................. <br />.......................... ...................................................... ................................ <br />... ..... -- <br />� ............_._ ..............................................................................Superintendent <br />.. � LABOR AND rfATEftIAL LiSF.D <br />_ I Lead �omtectian ComFlete <br />....._...... Eaddlc ComPletc <br />............. ...... _.. _........... _....... <br />, .,,_,,.,_ Scrvicc Cack <br />. ___ Scrvice Box <br />No. Aours Labor ...............................................,,............_...._.......__.. <br />, ........................59. Ft. <br />Cut in ....................Favement...................X........................ ,� <br />....................X........................ ......._............... <br />....................X........................ ........................ <br />„ <br />....................X........................ <br />........................ „ <br />Total ........................Sq. Ft. <br />............................ <br />......................................... <br />OrderReceit•ed ............................................--.....................................__...-- / <br />\Vork Completed ........................................................................-Fureman <br />/ <br />