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W. D. Fm m 7 ISUC B-1-17 C. P. <br />CITE' OF EVE RETT—NI atel• Dept. <br />Application No._-? 9ql___ Date____ 9l_C_4------ -.IAy <br />I 11_____ __.__ inch water service pipe <br />For---- Q°__e v----------------------- ----- <br />On---.--- ------- Street <br />Lot. Bloc No. - -- 6•- ---------- <br />Additio„ -------------------------------------------- <br />Remarks----- ---- ------------------------------------------- <br />LABOR AND MATERIAL USED <br />NO. <br />512E <br />------ <br />___!_. <br />Lead Connection Complete <br />-------- <br />.. <br />--, r3 <br />Saddle Complete <br />�p <br />r�_-- <br />-3 �7----- <br />--"`i„ -'�---------- --------- Pipe <br />---'t-6------tL <br />-------- <br />Service Cock <br />Service Box <br />No. Hours Labor ------ 1c2------------ cost ------ <..._..____________________ <br />Cuts in--------._PavementX.----------- --- ------._Sq. Ft. <br />--. X-------------- <br />__...__.X_------ _------ ,• <br />--X--------- - .. <br />-- -' Total, ------------ sq. Ft. <br />-- Item,��KS_DZasteCi)xl�Lp_ s):�L: a....�n.ua:mR•--•_----_------ <br />!GG`e i_YLrl G✓r,2 aE ............ -...... <br />---------------------------------------------------------------------------- -- <br />Order Received --- -------------------------- <br />Work Completed• �( `---------- --- <br />\� EL�)71. Ci. Forem <br />