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. 4 7C's' - � - ✓ - <br /> _�; _%� - <br /> RETT--V��ater Dept. <br /> Application No..�%C:.:-.. .... Date......... � �,: =.L�...........19.'�_.' i <br /> !.... '�..,..�.....:.... <br /> I�stall.........:�. ........icch water service pipe <br /> For ...................................................... <br /> ............................................................. <br /> On .............:..:.:�:_�::.�......__-�/t...� ..............._......... Street <br /> .. ..�...................... <br /> Lot.......... ............................... ............... Block No..................................... <br /> Addition ............. . .. <br /> � �� .......................... <br /> ................__..._..............._............._.... <br /> Remarks ...... `: L:��c.r_ /�n.=z,..l.1.....__:�t__`/ <br /> �'-._" �/•- <br /> /. <br /> / , . . ................... <br /> „ <br /> . ......!-_-1.��:l.t�r.�...�. / . I> ,.:�-.. <br /> r..-. ......_�-._�..�....�...........�.. <br /> . ............................. <br /> .................................................................................................................. <br /> ........................................................ ....................... ................................. <br /> ............................................._..................................._...:�=-�c.._.k�:.—�:_�:y <br /> SuperintendenC <br /> --- /�'� <br /> LAiSOR AND hiATERIAL USED <br /> No. Size <br /> ------ <br /> .. ..._. ............................................. Lead Conneclion �omplete <br /> ......................................_........_... Soddlc Completc <br /> .............._�._....11.........».................I .................::..........._....._.................................Pipc <br /> ..................................................... Servicc Cock <br /> ......................_....................:......... Service Boz <br /> No. Hours L.�bor..........__._......._..................Cost..........._..............._. <br /> ...................... <br /> Cutin._.................}�vc.,.�a;t....._............X........................ ........................Sq.FI. <br /> � ....................X........................ �� <br /> ......._............... <br /> ....................X..............._....... �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> _ .__—______ <br /> Total ...... ..... Sq.Ft. <br /> Remarks........................................................................................... -- <br /> .................. <br /> ................................................. ........................................................................ <br /> ...................................................:.:......_----..........................................--•--.......... <br /> OrderRe��ived......................................... ..................................................... % <br /> \Vork Completed..............................._.... . <br /> .....__ .......... ......................._. <br /> Foreman <br />