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d�� � �� � �_, � �' �g <br />4. J. PPICBE ]N �� <br />W. l>. �OIiM a <br />CIT`.' r F F V L RE1�'T--W ater ept. <br />... : <br />` :g5ate.... .....:.: �'L::l Li.�., �..........1�.� <br />Applicatio•� No.........._./�_.:��..:= • <br />Ins'call ............................��inch water service pipe <br />..... <br />Par _ ................. <br />. _ .............................. . . . <br />......... .... ............ / <br />/i�� �i l�7n:ct�:(-...('...�i ...................._---.-... Street <br />�... <br />On.::.�....._��_ .... ......... <br />Lot....__ ..................................... --............ Block No.._.........................--�-�-- <br />�rldition .......................... ......._..-.. - .-........ <br />.................................... <br />...... <br />Remarks.................. ............................................................ ........... <br />- ................ .._ .......... <br />.............................. _....-�---... .......... <br />.............................. <br />Superintendent <br />�— <br />LAIIRR A2:D 61ATfRi�:L USED <br />..I Lead Cnnnection Complete <br />_..._ <br />gaddle ComP��te <br />.................................... <br />._._, Scrvicc Cock <br />_ Scrvice Box <br />. ........................I ... _... _........ _ .... _.. ..... .. <br />No. Hotu's La or._.........._ .................._...... <br />Cut in........_....._...7`avement ....................X........_.............. <br />.................... <br />P, em a rks........ _... <br />....................... <br />Total <br />.................. _ _ . .... _.... <br />................................. <br />-----...._... ...-'- <br />.......................59. Ft. <br />........................ „ <br />............ ............ <br />..._. .................. �� <br />Sn. Ft. <br />....................... <br />...................................................... <br />............... <br />Urder Receiced.._ ....................................... <br />\Vork Completed ............................_.......... <br />......._.......�.. / <br />Foreman <br />