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S J._'.irLe4M' i A/ � � <br />W D. Fom d�� V 1 L Y ' <br />ERE'TI'--Water Dept. <br />Application No....8�J.22......... Date......�.U�.$...21+r1-Qly.'J.......19.---.. <br />Insta11.3.�1�.„ ...................inch watcr seivice pipe <br />For .._ ......................_.... -......._. <br />........ ......_......................._........._....- -..... <br />On ........_..�.33.S...h�e.dToua ......................................................... Street <br />Lot.................................-- ...................... Block No ........................----�----- <br />Adciition ..._ ...............................................__.............._.... <br />- ......................... <br />Rcinark� .................................Renewe��.................................................... <br />_ .. ........... --..........._...._.................-- ..............__..--.........--..................._- <br />G.G.�aine ' <br />.. ...................................................... ........ ................................. ............ <br />$VZ SuPerintendent <br />LABOR AND MATE2IAI. USED <br />No. I Sizc i � <br />—.—____---_—_-___ _--_-- — <br />_ ...................._.. �...._................._..li Lead Connection Complete <br />... _... I Saddlc Co lrt / <br />�" A�.-f' <br />.�.�............ft......----.c7�..... .. .. .._._ . .... ......._ ..................Pipc <br />...................................................... Scrvicr Cock �.. : <br />......._ .............. :)ervice IIox <br />P1u. ?iours Labor....._ ............... _......: ......__..Cust..._....................................._........ <br />Cutin ._...._....._...Pavement ....................X........................ ........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />....................�........................ ........................ <br />,: <br />....................X........................ �� <br />........................ <br />'Iotal ...................._..Sq. Ft. <br />---------------- --- — �— <br />Remar]s ..................... - ...........................................--................................ _. <br />� ............ ................................ ............................. .................................................. <br />Order Reccived...-- ...........................t..�........_......_%;�[' ,� <br />Gvork-Completed.. ._.....:!�t�.._._.'.F.Z.___._S?-.L....._. .. "����G� � <br />g - �::_�::. .� -� � <br />Foreman / <br />