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� • � �� �% /��. <br /> W. D. I:�� � O <br /> - - CITY OF F..VE�RE.�"1--Water Dept. <br /> Application No.�--�-...5�-u�..:. Date................� . .�._......_ <br /> � �5...". ...._......19--�: .7 <br /> % lnstall...............................inch water service pipe <br /> , / i) ,- ./ � <br /> For ....",�_..:L...:..........C_..:.c.LL:,�::..............�:..---...................-----............ <br /> � �.�:a,.z.�.:...��............................... Street <br /> On ..._.....�.<.�.�....�.... � <br /> Lot..................................... ...................... Block No..................................... <br /> Addition ...._............_........_...._......_............._............ .. <br /> � .. ......... <br /> Remad;s ...................................��:?:Y:str.�.%�Z.:..v.-��............................ <br /> ......................................... ............................... ..........�-�- ............. <br /> _.__._.............._.._....._..........--..............__......................--..................._.... <br /> ........_..............................._...._.........-- ........._..... -... -- .........-•.---- <br /> ......................................................................................... � .............. <br /> Superintendent <br /> LABOR AI`D MATERIAL USF.D <br /> No. i Size i <br /> --_--Y.— r_-- <br /> ........................._�.........._.......__._.I I.ead Connertion Complete <br /> ............................................_........' �addle Complete <br /> ..............._......ft............................1 ......._.....__........._._................_...................._Pipc <br /> ' Scrvice Cock <br /> ............................_........................� <br /> ....................._............................._ Scrvice IIox <br /> No. Hours Labor_._.........................................Cost.................................................... <br /> Cutin............__....Favemcnt......_............X........................ ........................SG.FI. <br /> ................._X......................_ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> _----�---------------- <br /> --- <br /> Peinarks............................................................................................................. <br /> ... ........................................................................................................................ <br /> .....................................................................�--..........................---......................... <br /> Order ?ieceived.._. <br /> __......_.. ........_. ...... ........._.............................. <br /> R'ork Com�leted........_._. ._._._.. .. .. __ __ _... . . _. . ... .................._ . � <br /> Foreman <br />