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w. o. r�+r����� �� �/ <br /> " �CITY OF ESIE�ZETT--Water Dept. <br /> Application No._...:.._:..:1. .._. Date...._._.._:......_.........................19----- <br /> I�,tall..............................inch water service pipe <br /> . ; , <br /> , , <br /> For ....�.:..._..:.,_.:...:�_�....�............�_:__._......:..:�•_.....:..................._............... <br /> , , � i <br /> On ......:.e'.::�:.l...�-................=---:.......�....:.........�!...................._.... Strect <br /> Lot............................................................. Block No............................... ... <br /> n�idition .................... ............�,......... ..... ....... ;�-................................. <br /> Remarks ...... -- ..................�.�......:....................'...:............_..............___ <br /> _ ---..........................--................................ - -............................................. <br /> ........................................... ................................................................... <br /> _._..................................... ........................................_. ........ ----...--....... <br /> Superintendent <br /> LA80R AI�D MATEHIAL USr.D <br /> --No. '� Size I -- --- <br /> ...................... � i Lead Connection Complete <br /> ............................... <br /> ._......................_I........................... Saddle Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ..................................................... Servicc Cock <br /> ........................... .......................... Servicc Box <br /> No. How�s Labor..............................................Cnst................_................................ <br /> Ci�.l in....................Pavement_..............._.X........................ ......................_Sq.Ft. <br /> ....................X........................ ,� <br /> ........................ <br /> .....:..............X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sa.Ft. <br /> ____.______ <br /> Remariis...._.__................................................__.._.......................................... <br /> ... ............................................................ ............................................................. <br /> .............................................................................................................................. : <br /> OrderRecei�•ed............................................................................................... / , <br /> \Vork Completed.............._._....__......... ...................... ._.._..................... .. <br /> Foreman <br /> �� <br />