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W. D 1?.. 3 A <br />CITY, q*f,VERETr .. Water, Dept <br />6 l <br />Application No......."...'..'.... Date ..... .......... . ...... . ...... . <br />Install . ....... ...—inch water service pipe <br />Street <br />)r ....... .. .. .... .............. .... <br />On. ....... <br />Lot. .......... . Block No. .. . ...... .......... .. ..... . ............ <br />Addition ..............._- <br />Remarks .. .. .. .... ....... ­­ . . . .. ........ <br />.......... ....... <br />• <br />LABOR AND MATFRIAL USED <br />Lead Connection <br />_SjMp etc <br />Saddle le Com <br />. .. <br />........ <br />Ax <br />.� ....... <br />.. Pipe <br />... .. <br />........ <br />--m, k <br />...... .. <br />...... .. <br />Service Box <br />.. ........ <br />... ........ ..... <br />. ...... ...... ... ...... <br />. . <br />......... ...... <br />No. Houn Libor <br />...... ...... <br />.................. - . ........... .... ......... <br />Co't <br />Cut in._-_._.._.. <br />Pavement ... ... <br />.... x ........... ... --- Sq. Ft. <br />... .............. <br />X...... . ..... ............ .. ....... .... ...... <br />X... - ....... ....... . . .... . .... <br />Total Ft.__ <br />Remarks <br />Order Received <br />Work Completed <br />