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, _ W.p.L:or�� . „N I �' <br /> Y'- ��' � A'Y <br /> +L:I vERE���ater Dept. <br /> CO � ��i . � <br /> Applicadon No...:.:.........._.�..... Datc........._.........................:.. "' '"= <br /> .........19........ .i , <br /> Inst�Jl........:.._...............inch watcr scrvicc pipc �.�� <br /> , _ <br /> For ..............................:... •..�._... .� <br /> ........................................_......................................... <br /> On .....:.:.....:: .5:......:........._...:. ..........................................................Strcct <br /> Lot....... .....' . .. ... . . Block I�o........................................... <br /> � ��e... --.. .. <br /> Addid n ...+�............. . ..b <br /> J ........... .............. ..............._............................. <br /> - !3.— .. <br /> Rcmazks ........................................................................................................... <br /> ..�..........�:..._............:......:..................................................................._................ <br /> !,,.: �r . , . y . . _ _ : <br /> !.. ,, : � <br /> ............................................................................................................................. <br /> � �:�. �. M1 .. .. �.... ^ . ' �.�,,�^. <br /> __ _ ,. . <br /> i-��� :.......:...._....:. ....:._.:.. ..;�..._..........__........ <br /> Lp........_. , . . . .. , h. ............................. <br /> �rL f y . r, ,.. . .. . .. ..�. d rv . <br /> . . � <br /> . . ..r> : +. _ . � .-. � <br /> .........:.:.........._...._.,..........................................:................ <br /> Superintendent <br /> LABOR AND btATliRiA1. USED <br /> Nu. Sicc ---- -- <br /> ................................................... Lcad Cunncctiun Cumplctz <br /> ................................................... Saddic Cuniplctc <br /> . <br /> . -, ,. -, . _, ,. � <br /> ........,:..:........ft.............:.......... ......!....L... ..�.........�......... ..................Pipc <br /> � � <br /> ..........................."'..................... Scn�icc Cuck ` <br /> (— <br /> , ,,, . ._,_I <br /> .✓ � � 'i,v l':�...l i ' -.'./T . . <br /> �� a . <br /> ......._!......................................... Sm�cc�z , , <br /> , <br /> . i <br /> � i . � { � <br /> .�............. �.:......'...::... ....:....c:..........::._,. : ...-...........�::...................................... <br /> ................................. ` �. ........ <br /> .......�.................. ....':::............_ (._rs.x:_fw._�.L.�.i j.....�._'._�.:...:'............�._�.................................... <br /> ...........................�........................ ................................................................................................................... <br /> No. Hours Lalwr............................._�.5:...Cn•c........._................................................... <br /> Cutin.......................1'�v. cnt............... �.......................... ........................Sy. Pt. <br /> •� �.... . ...... <br /> \....................... <br /> ` ... ........................ .. <br /> � ,, _ ' � � ....................X.......................... ........................ .. <br /> ��� 7 �( . .. <br /> , _ �.. �....................... ........................ y <br /> ` � ' 3 /3 � <br /> " T��,i ........................s r�. <br /> Remarks............................................................................................................... <br /> ........................................................................................................................... <br /> .......................................................................................................................... <br /> (lydcr Rcccivcd.................................................................................................. <br /> \Vork Cumplatcd................................_......_......... .......................................... <br />