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��j` �� 7 <br />s. a. Pn�coc aM �'J � ' ,: } � �: � <br />w. o. ronra a <br />CITY ��' E�TrRETT--Water Dept. <br />,,. . ., � <br />. , ,. <br />Application No......._.-.�'"._"'.� Date..._�:�..� �-...?.:rC..:.! .............?9�./ <br />;nsta�! ...............__..._�:/....inch water service pipe <br />For S�� �. �. <br />................. .... '--.......-' --------..... .. - - <br />�- .... <br />�.... <br />:.��-:� '........ � <br />On ............'_:�:, . ,.... ..s............ Street <br />I.ot ............................................................ Block No......._................- �-�--...-- <br />Fddition........._ ........_........_ ....................... .........................._................ <br />Rrmarks......... - ...... - ....... ....- - ......._ .........................._............._... _ <br />.._......_ .............._.........._...................._............................................ -....----... <br />................................... ................................... ............................................. <br />.......... ................................................................................ <br />Superintendent <br />LABOR A.ND 11fATGRIP_L USED <br />No. Size ! <br />_— --�i <br />Lcad Connection Cornplete <br />Saddlc Complete <br />.................................................... <br />Scrvice Cock <br />Se.-vicc Box <br />No. Hours L�bor_ ............................................Cost......._...................._........_.........._ <br />Cut in..........._.......Favement ....................X........................ <br />........................Sq. N't. <br />....................X....................... ., <br />........................ <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />............. .......... <br />Total ......................_Sq. Ft. <br />— —�------ ------ �----� <br />P, e m ar ks ........................................................ .............................................. . <br />........._.._.._........_ .............................................................._ ...... ............ <br />Order Received .......................... <br />\Vork Completed ....................... <br />...� ...................�.Foremar. � 1 <br />