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c. <br />S J Priebe�M�;t29 e � <br />^./. U. FormJ <br />C.;I l� {REiT--Water Dept. <br />Application No....94�.5.......... Date....._JulY._24.�,�.y/i:/...._..13...... <br />Install....._��4„ .............inch writer service pipe <br />For................................. ................................. <br />On ..........1221,.iv,it�drOX�e ............................. <br />T.nt -- -- ................................ . . Block <br />Addition............ ........._....._..._..................._.................................... <br />Remarks................_...............�i�.tle.W,fll....--�--..................._--......... <br />............................... ....... <br />Street <br />G.G,Yain� ... .......... ................ <br />............................................................ Hvz . . . . <br />Superintendent <br />LA.BOR AND MATERIAf� USED <br />No. I Sizc __ _ __._ <br />...� Laad Comsct�on Complete <br />ISa�'.dle Co;nplete <br />. .. . ....:.....'... ................................ <br />_.I Sc::vice Cuck <br />.-i Scrvicc IIox <br />...............�.........I .....�............ <br />No. 14ours L:IUOT........._..__ ............._............_GOSi._...................................._........... <br />Cutin......._..........Pavemerd ....................::....._................. ..............._...._.5,.1"�. <br />....................Ji........................ ,� <br />........................ <br />....................X....................... �� <br />.. ...................... <br />....................X........................ ........................ <br />�� <br />Tolal ........................Sq. Ft. <br />-- —__ <br />R� mar kc ............................................................................................................. <br />..... ..................._- <br />OrderReceived_ ............................................-f................_.........................._ I <br />�'dork Completed.....:..;i..=..4:,�..'_(:r:�.........../.l..._::r...J_:.._ ................:.........- <br />Foreman <br />d <br />