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� J <br />S.1.nric6e9M].4o39, O� .. <br />W. U Form J V ' <br />CITY CaF EVEI:i "I�I"'--Water Dept. <br />�,pplicatio:� No. �:%��_� Datc . ./.....'.:. �. _%... ._.._ ....19.'.:.'.. � <br />� ,� - <br />Install.....):._....._ .............inch water scrvice pipe <br />:'cr ...........................................�--..... �...__.............._................. <br />. <br />� �D � . -7-- ...... <br />� On ....----� ...................... � c. ,' <br />....... ...............,._............. ._................._ Street <br />I.ot ................................. � <br />. / <br />........................�:. Bloc1: No.........................._....._.... <br />Addition <br />............._ .. ......._.._........ ..... .._.,r_... <br />.. ......._............_ _ ................. <br />� <br />Remarks ............�....�.�_::.�:...'_F ...:..::....... <br />.......................................- - <br />; =- ::::. ........................... .... _.....--- .................. ................... <br />.... <br />, . ........._ <br />. <br />.......... � . ............................. ............. <br />t. . <br />_ ... ............. - ----� <br />'.�.� ' „ <br />...................... <br />..,.�c..:.....�..` ........ . ................................ 2,...L.,...,. - <br />I � <br />r � .� ................_.....--.. <br />.. ........_._ ................_.............. / /��!� .'T � 7t P <br />, ...� . ................. ................_.......... -- - - <br />-- /r .�-=7 SuE�r.rintendent <br />—_.__— _�— <br />LABOZ. AND !ViATGR[AL USED <br />'•`10. Sizc <br />.� _ �. � ......:....... .ft.�._......� �:�.:_...... : <br />.. _ .......... ............. I................ _...... _ . I� <br />Lcad Connection Complcte <br />2aricllc Completc <br />......:C�..._:...1...:..._ :...:........... <br />, ......._..._. <br />Servicc Cock <br />Servire Box <br />Nn. fiatr.�s L:oor._...._............_ ............._........Cost...__..... <br />Cut in_..._..........._Yavemenl_.__._..........X_.._._..__._._... <br />�/� � /,.` '. � �; ..........._....._X....._............_... <br />:...................::........................ <br />j n, � . ,,:% <br />Pipe <br />.................................... <br />................._.....Sq. Ft. <br />,/ .....................1........................ ,� <br />......................... <br />. . - — Total ........_ ..............Sq. Fi. <br />— -- � -- ---- � - -- ---= <br />--= _ -- <br />n., . �':"' :' :-: -��, . . - <br />.�_mat4s .........:.:........-- ---"-' <br />_ . _... __.......:,:• ................................--....._........._._.................. <br />_ ................ <br />; � -...... <br />, � � ;- � � <br />__._.e. . , <br />• ........:.. .............................................................. ..... <br />Ordcr Iicceiced ......................................................: <br />...................................... <br />;'.'o;l Completed......_ .............._........... 'L., ."` <br />.................... .. ........ ... .. .._....... <br />Foreman <br />