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S I.:riebe��29B5 <br /> W,U Form J <br /> ; , . c rY7o�vERET�r--Water De t. <br /> ,_, _. .-.,, � <br /> P <br /> Application No.....::._L../_`'. Date.......�...�_7....-.� � .. . <br /> .................19..._: , <br /> ;- Install.�_���.';_.,„_._r...,.inch wate•service pipe <br /> !_ . <br /> /-' ��'f / <br /> For _._.......:./ '1 �...:......_�:.1__, ' . <br /> . ...... ... <br /> ......................................................... .. <br /> ; ' . ... <br /> _„ , <br /> On ....- ............._ ...:............./�'...C:�.:.:"::_".-.:.....---....... 5treet <br /> ........ <br /> � <br /> Lot....--..........�.n - ..................... Block No.......��:.:�- <br /> .............. <br /> , Addition ........................ ............... <br /> ... . .._..........:.................._............... <br />' • ; ..i .. � . <br /> ............. <br /> •- Remarks ; r, -� r <br /> ..........................�......:.:L.....__...---...__... ,. ,1 >i .r-f <br />�'��-� ....:...."' ' <br /> / _ I.�!"':........"'....... <br /> _ , <br /> ................. . ...... . . �.. <br /> ..... ...........y..t:... ...�... . <br /> . .........,�.._............... <br /> . , : ...................._._"' <br /> .........._. . �.:.. .' .: ` . <br /> ....... ............'....'.. <br /> '�✓.,-. � , <br /> .....: � <br /> .......................................'............."'....._... <br /> '............................_........................' � �, -_ <br /> ......_.. <br /> .. �.._..._..... .......�............................ <br /> ' �// J �...... <br /> ...............................'_p.'. -7� 'd.:�.� . -1---_v <br /> J j................ _. ...... .........�:......... <br /> ...."'............_""'_ <br /> �� � .�� � .✓�� Superintendent <br /> t � <br /> ,;��Y`s ^� ` t �LAQOR AND niATGRIAL USF.D <br /> n . <br /> _.� .� • _,__- . _ <br /> . 9` __. <br /> �•�������� � �- --��>�� �-�.�....-_..I L.ead Connection Complete <br /> _.:............ ... . ... .' Saddle Catnple[e <br /> ........:`:._...: ._�..........�....._ �/c� - - � � - <br /> a, .� ..._......:...:_:.,......�......:......:..:. � ......Pipc <br /> , . .................... <br /> .........:C.i.�.......................-.�'....... Service CocK � <br /> � <br /> ................................._....:.............. 8crvice Hox <br /> ......... <br /> No. 2lours Labor..............................__............Cost_.............. <br /> .................................... <br /> Cut in............_.._Pavement......_............X_...................... <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Tota] ..:...._....Sq.Ft. <br /> R e m a r k s..........................................._... <br /> —_— <br /> _, ................................................. <br /> _._...._,........_.................. <br /> .........................................._-........................ <br /> ; .. <br /> ..........................._..........................._................. ..---� .......................... <br /> Order Received............_._ <br /> ......_..... ..................................................... • <br /> \Cork Completed....._........... .._. .. <br /> _. ............................_... <br /> ....._.......... <br /> Foreman <br />