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s J. P��eL���:;�� � • - . <br />�v. n. to. � .1 , . <br />�I ' C�F EVERE"li'--Water Der�t. <br />App]ication Nn. _ ..._ _......... Date .................:: <br />..........................19_..... <br />Install ................................inch water service pipe <br />For.- -- .:..:.....:.._.........:. <br />_..._......._ ............ ........................................ .. <br />On.........:._' .....:.::....:................::..........:. ...._-................. Strnet <br />................... <br />,.�� . ....................................................... Block No.... <br />Addition .................................... <br />.................................. <br />Ltemarks .._...�,: � � � �� � <br />�3�arsi � <br />1i�?�'3� ��ti... .,,..'......::�. <br />S�iP�rintendent <br />�� � LAIIOR AND DfATERiAL USED <br />No. � Size � — <br />�-��---��- � i Lcad Cnnnection Completc <br />. . _ ..... � ..._St.l.........'............ �... Snddle Completc <br />._. . . ..._���..�..._L.:?'�: t_ �' :................................Pipe <br />. ............................................. Scrvicc Cocfi / <br />. . . ............................................ Scrvicc Eox <br />.................................... _.......... _................... <br />.. . .... _ ............�............ _ _ _. _...... <br />. ............................................................................................._.......... <br />.. . _ .................� ....._........_......... ............. <br />....... <br />1:-�. Houra Labor.__...._ ..............................._..Cost.................................................... <br />'ul i�_......._�.....PavemenL.........._......%......._..._.......... Sq.Ft. <br />" � ........................ <br />I. I � E.� ............._._..x..................._... „ <br />..................... ... <br />.� .................. „ <br />..... ........................ <br />7 , G Z ..................X........................ <br />_. ....................... <br />� � Total ........................Sq. Ft. <br />�-- <br />If otarks.... ......... — <br />. ............. ............................ ......... .��- <br />..... ^ <br />`--7 <br />__ _......r.�.....`�.�,l .............................._............._....................... <br />_ . ....... ..............................................._ ........... ..._-.............._..................... <br />Urdcr Received ....................._.. ' <br />......... . _ ... . .................::. <br />..... ......_.., .... <br />',:"urk C��mplelcd.._ ._... " � � � ` - ' - � . <br />._____._ ...... .... ...'.�:....___._. _:........._... <br />. _ i'orcm:m <br />ta <br />