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F � <br />e.�a. nu�C� � _ . <br />w. o. row� o � • <br />Y - V�RETT--Water Dept. <br />Application No....�'�1....i:-.... Date...�l-.----.`5........_�.......19.,��' <br />Install....._3<.. ��...........incli wate r service pipe <br />For.................................................... �.j....................................................._..... <br />On ..............-�---�-..7.�.�,�r.._...l1�'.'.t`�G:2��.,___........... Street <br />Lot.........................�----._...................._....... Block No..._......---•......_...........--•- <br />Addition....................��Y�..........--............. ......... . .. <br />Remarks ..----•-• r+*.•`c ��` rvxL.. � ��-� <br />.... .... . . .... <br />.... .... <br />- <br />, , <br />, ........� ..................:.:.................... }.........,,........ . . .........---...----................. <br />. �•... i�-r--r.,� . �/l� Ln � v� 7 <br />"./ rh �-t-c.._! <br />.. _ ................................--.... <br />r "� Ssperintendent <br />/,_ <br />LABOR AN^ MATERiAI. DSED <br />� <br />Lcad Connection Complele <br />Siddle Complete <br />..................................................... . <br />........................._..........._............_ Scrvice Cock <br />........................... .........._.............. Scrvice Boz <br />....._ .. .......:.................� ......................... <br />No. Hou�s LaUor .................................. <br />Cut in ...................Pavemenl............... <br />_.. ................................. <br />........................Sq. Ft. <br />......._ ............... �� <br />........................ �� <br />....................� ....... <br />, Total ......._ ...............Sq. Ft. <br />------- - r-•— - . <br />, <br />�, , . .,� <br />Remarks..: ;�11..'..w ....:...........`=- .....:_..:...:............................................._ ... .. <br />� <br />� , <br />............................................................................................r .. .; f--. .�:. .. <br />i. � <br />........................................... ......... ....................... ........... �... � <br />..�. �� ............... <br />OrderPecciced ....................._ ............................�,l.............................. <br />1Vor1_ Camlileted...:`..:.:....:...:.....:..-�--�� ..:.:................................................ I <br />Foreman <br />