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� <br /> W . . . <br /> ' f Form 4 ISfD d-1-17 Q P. � � <br /> '�'��' (1F CVERI R� 1Ti '�V1'ater Dept. <br /> �pplication No.__� ��-_� Date----�,1_.�-----191�-A <br /> Install. _-��_--inch ���ater service p�P� <br /> t <br /> ro�•--'=��-�-`-:.`�-" C- --��° — ----- <br /> On .__ .�L_� �-0---- - ----.Street <br /> - - <br /> ---- <br /> Lot __�_�— -2 -�-----. lock No.----�-g�---- -- <br /> Addition ---- — -- -- ---- ---- --------- <br /> Remarks---- ------------ --------- <br /> ------------------- <br /> ---------------- <br /> ---- -- � <br /> -- ------ - --... _ <br /> ----�,-� �-- ��i�� �p <br /> Sup in ndenU �!� <br /> LABOR AND niATERIAi, USF.D <br /> NO. SIZE __ <br /> / "'_jy-"- Lea�l Cnnncctinn Cnntplelc L ��� �^—� <br /> _____�'___'_' ( <br /> ___'_._.'__ _.. _. <br /> . �._-. SaddlcCompletc . <br /> __fl �'��' 1a:G-:---�- -�------ -- -----I'ipc <br /> ---j-?- - <br /> '__'�._"__. . .;!.`-".. 3cn�icc Cuck <br /> ___�'._ _. .___'" <br /> __. Serv:cc Jnx <br /> '_'_""__._____. ''_ ._"'__"'"_"'__"_'_'____".""'__ <br /> __""'_""""' '_'_ <br /> _---_----'—� ' _ _. <br /> No.Hours I.abor.__'L_!o___. ..__.__Cnst�x...�.�________'__."'____ <br /> Culsin._.'.._._ .._Yarement_____...X______________ __'.__.__Sq. ft. <br /> .__ ._...X__..._ _.__' '___.___. <br /> ,. <br /> ..__\.__......_._. __�__."_ <br /> .. <br /> ___h___�________ __________'_ <br /> .� <br /> �_ . Tntal, '_.'_'___'_'Sq.PI. <br /> Remarks - - ------- --- ----------------- <br /> -- -- - <br /> - - ------- -- -------- --- ----------------r-- - <br /> _ - _ - <br /> Order Neccieed _-- ------- --------�-------- -------------. . <br /> �1'm•k Com�ileted ---------------------- ' <br /> Foreman <br />