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w. o. rol/ri�� ♦ / , . <br />- EITY �Jr EVE�E'Y"T'--Wa.ter <br />Dept. <br />-,. , <br />Application No.l.:. :� %i.._ Date.........<r_:..� ............. � . <br />....... 19.._'> _ � <br />/ - lnstall .......�.. '.................inch •„ ater service pipe <br />For _� _ ✓.... f `� �..G�' " <br />- <br />1:�......�.�:� ���...,� :::................_................................. <br />� . ,/ � . <br />On .....:.�i: �.::��........��.j:C'r,e.Li...s1zG;...........__ .................... Street <br />Lot............................................_................ Block No..................................... <br />9dclition ......................... <br />. ....... ......................................................................... <br />Remarks........................... <br />l: ........................y............................................ - - <br />Superintendent <br />LABOR AND MATER[AL USED <br />No� i Size <br />�������-� -�..........I Lead Connection Complete <br />.......................I Saddle Completc <br />... ................. .................. ............. ................... <br />��_-��_ ��._...... Service Cock <br />. <br />��-�� ��-���........:. Service IIox <br />No. Hours Lsbor........._ ............... <br />Cet in ....................Pavement....... <br />.......................Sq. Ft. <br />........................ �� <br />___ .................. ........................ .� <br />....................X........................ �� <br />........................ <br />Tota] ....Sq. Ft. <br />--� .................... <br />D...�.....L_ _______ _ <br />................................ <br />Order Received.__ ..................................... <br />\Jork Campleted ...................................._ <br />................................ <br />Forr.man <br />/ <br />