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• �; <br /> � <br /> w. o. ro�a�� � � t�, <br /> ^ �/ <br /> C?i�Y OF LVERET'T--Water Dept. <br /> Application No...::............... .... Date...............:�......::.......................19...;.: <br /> ,/ Install_....................._......inch water ser����e pipe <br /> ,� <br /> For _.:..:...:.:.........:..._...,.....:................. -� � � <br /> ............:..........._.................................. <br /> On ........- ............:....................::....i.._:...'....:.:................_................. Street <br /> I,�l................ ........................................... Block No..................................... <br /> :1ddi!ion <br /> .................................................................................................... <br /> Rc:nar}s : l , , ' <br /> ..........................:..:.i..:.:...._.:.::..:.........:..:............................... <br /> ......................................................................................... � <br /> __............ ............................................... ...................................._.................. <br /> ..__......................................................................................__...................... <br /> ..- .......... ...............................-.._...._......_....--........_...................... --........ <br /> Superintendent <br /> LRBOR AND �1fpTERI.�L USED <br /> rro. ; s;Z�� i <br /> — -- �------- — — <br /> --- <br /> _..............................__..............._ Lcad Connrction Cemplete . <br /> ..._...._.........................._..........._.... Saddlc Compl�_tc <br /> ....................._ft............................ .............__..........._..._..._................................Pipe <br /> ........................................... ...... S�_rvice Cock <br /> ..............................__...._.............. Se�:i�n Box <br /> ....._.................._... <br /> . <br /> .................................................._. ............_............................_.................................................................... <br /> .....__............._1......................._I ............_._....................__.............._..._.................................................. <br /> Nu. Haw�s �.aLor......... ..................._.............Cost............................................_...... <br /> Cutin.... ........._..Pavement_.._...............X........................ ........................Sq.FI. <br /> ....................X........................ �� <br /> --........._......._. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ..... ..................59.Ft. <br /> -_ �------------------- <br /> ----__ <br /> Re�narks......................................................_.. <br /> _.._._ ..... .................._............ <br /> _.__......._ __..................................................................................._................ <br /> ...................................................................................................................... <br /> G:dr.r Neceioed............................................---.......... .......... ._._................... / <br /> \VorY Completed........................................... . ..... . . __. _ . <br /> --.. ..... .Foreman <br /> � � �� <br />