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w, n. ron« o e��/�� �+ , � �� • , - �2 �SC 'Q. <br />CIT�' OF ElJFRETT--Water Dept. <br />Application No.. :_'� i.l.::%_... Date ..................:.�:.:(... �:_`.1----.....19....-- <br />Iastall .............................. .inch water service pipe <br />For....................................................................................... ................... ........ <br />� . <br />, '� <br />l'` . / ..�:,�_[u.'.';i�-'-.f_rti' �4- 5'iLf2t <br />on .......- ......1 .::. ........:.............................� ........_................-- <br />Lot............ ..................................:............. Block i1o...................................-- <br />Addition.......................... ........----....---........ _._............................-- <br />Remarks ....} .............................._-......... <br />.......................................�--................ <br />' ' // <br />' <br />� � <br />� <br />No. i Size <br />LAIIOR AND MATERIAL USED <br />:.ead Conr.cction Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />............................... <br />................................ <br />.._.....Pipe <br />ATo. Hours Labor ..............................................l:ost.................................................... <br />Cutin .............._....Pavement....._..._.........X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />� ........................ <br />....................X........................ „ <br />...................... .. <br />Total ..._............_.....Sq. Ft. <br />— --------- <br />Remarks__ ....................................................- - <br />- - <br />OrderReceivec+ .................................................................... <br />\Vork Camulete3 .................................................................. <br />Fareman <br />