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hL <br />.35700 <br />S. J. N.. <br />CITY QC�P�VERE - <br />77-Water Dept. <br />Application No..A:5-_ [-C- — Date-�--/----- --- ---------- 19---- <br />Install.. _ _ _ - - _ _ -inch water service pipe <br />�_. <br />For--.-(F--•(�'-----• � "=` t_ r--�--- <br />On- -------------- `f"U=l Street <br />Lot -------- - Block No... �r . <br />Addition ... - - - _ - - <br />Remarks --------- <br />/.. <br />------• -••--------'----------- <br />.a.�---_- - ---- ------— <br />5 - - d <br />l <br />•--- _ � � nperimen ant <br />LABOR AND MI ATERIAI. USED <br />Lead Connection Complete <br />_________ Saddle Complete <br />•. _ a. .............._Pipe <br />'........ ....... ............... Service Cock <br />Service Box <br />[------------- ------- <br />----[-------------- <br />�4 = �� �'-`'' --------------- <br />-----I-Co.f'� %5.' --- <br />No. Hours Labar.__.___-___-. <br />---- ------------------------ <br />__--___--__---Sq• Ft. <br />Cut in.__.._..-___Pavement.-____..-_._X______________ .. <br />1. .._......___X-------------- _______________ <br />Tn " :X------------ ., <br />Total ---------------Sq. Ft. <br />-•---------•-------••-------------- <br />Order_Received - -----" ---- ------------------' - <br />Wor Completed --------------------------------------- Foreman-- - <br />VA <br />