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99WQD.Fom3 CITC FRETI _-_Water Dept. <br />Application No..�!•----- <br />Inst 11._ __ _tfl- inch wat r service pipe <br />For <br />Street <br />On <br />--- Blo No ----------------------- <br />Addition -------------------'---- ------'- <br />Remarks------------------------------------------- ---------- <br />------------.--------------------._...- <br />— <br />-------- <br />-- <br />a rinwroient <br />LABOR AND MATERIAL USED <br />.-_--_-• Lead Connection Complete <br />Saddle Complete <br />_______ ____________ ___ q_ _._.___...Pipe <br />1 Service C ck 0 <br />S <br />3i .t ------r_-�k--- ---------- - - <br />-------------- <br />- c. _ <br />No. Hours Lnbor------------------ !1'_Co _.. Kf. !_...: <br />_ <br />Sq. Ft <br />Cut in. . --------- _Pavement ------------ x _________ <br />______________ <br />_..__x............... ............... <br />3 x----_----------------- <br />1�' Total ---------------Sq. Ft. <br />_________________ <br />Remarks ------------•-'•---- <br />. — <br />------------------------ <br />Order Received ------------------------ ---------------- .' <br />- <br />Work Complete -------- <br />------------------------------ Foreman <br />