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/�4��f3 �,����3 <br />w, n. ro�aw y _ <br />CITY OF Eti'ERE'1'1--W ater Dept. <br />�� ,, ; _ ; ; <br />App�ieat�ion No....��.�...-�� J Date ...............................................19...... <br />lnstall.�. . . .. . _ � . �inch water service pipe <br />�( r ,���. � <br />Fpl' .`:.L.:.:�:C.C-� " "...... ./...{.::��...�i� <br />�: <br />..... ....', . � Y <br />��::_t/ ................ <br />�, r , � ',�' � Stre?t <br />Oi; ... ..........� ............................................ <br />..... .:�.�.... f :-........ <br />� .. <br />LoL..b�2/�....._� ii_./.�,�r... _�..:.. Block No ....................... <br />:+d�lition ................. ...................................................................................... <br />Remarks <br />Size <br />LABOR AND MATliRIAL USED <br />T,ead Connection Cmnpleth <br />S:u:91e Completc <br />..._..........__._ .................. .......... <br />Service Cock <br />Servicc Box <br />SuPerintr.n;ent <br />No. Hom•s L.suor ..............................._.._..............,........_...__ <br />Cut in._ .................Pavement_...._... X.....__............... ..__..................59.Ft. <br />....................X........................ ........................ <br />,� <br />....................X........................ <br />........................ .� <br />Total ........................59. Ft. <br />— —`__ ------ <br />..................... _.........._... <br />Remarks .................. . ..........................._...._. _........_... <br />_.........._... _... <br />. ....._ <br />Order Received_....... <br />�Vorlc Completed..... <br />.............._......_.._ .._.............._................._._. <br />. <br />__.__......_ ...___.... <br />Foreman <br />