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' S. �,i.,'r� ieLe 9:s'.46 29955 <br />W, LL Form 3 +' <br />` Cl '���ETT--Water De�t. <br />Application iVo.......88�2..... D; te.._JulY...2.4.�-1`1.1+1..........19...... <br />`� ....inch water service pipe <br />I nstall... .. _31.�t......... <br />For....... .................................................. � .................................................. <br />On ..1.4zQ'.....�1a.dT.0.q8....._ .............._................_...................... Street <br />Lot..........._...._....._............_ .................._. F31ock No.................................--- <br />Addition..._ ..................................._- .......... ............... - ..._........__..._.- <br />?iemarks .._ .................----R2R8W9'1. <br />. ..-----.....---......._ _ ...............---........ <br />G.G,Pe�ne <br />...... ....................................... ........................ ... .................................... <br />HVZ Superintendent <br />LABQIS AND IIfATER�AL USED ' <br />Lead Connection Complete <br />Saddle Cmnplete <br />.................. �.�._".:�'i::�'�,.........:....:.................Pipe <br />i <br />Scrvic. Cock - . <br />Scivlco Box <br />No. Aom�s Lc:bor__ ..........................................Cost...........:........................................ <br />C�,t in...._....._.......Yzvement......._...........X ........................ ............._........ �q. Ft. <br />....................F......................... ........................ �� <br />....................X....................... .� <br />........................ <br />........--.........X .............._........ ........................ ,� <br />Total .... ...................Sq. Ft. <br />------------------_.-- — --- <br />Remarks..................._..................................................___ - -....................._.. <br />O!der Recciced ................___.............................. ..... . .. ...._.... f.._ <br />�Vork Completed.(�'-...�.1..;�'...�_1��........�'��.:�1L�:t,,?%�.Q / <br />Fore:nan � <br />� <br />