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CITY ViFPEREgVERET t --Water Dept, <br />C�P <br />Appli Ztion.N ......_ .. ...... llatc......::...t.. ..... ..._...:........... 12...... <br />�y "T s <br />Instill....... . ...' .............inch water service pipe <br />For............. .................... <br />/.? <br />On .......... <...::._:.. _.. �Uf......................._........Street <br />Lot............ .'.rr�7............... .(.<.................. Block No........................................... <br />Addition ------------ -- <br />Remarks_.,.................................................................................................... <br />r• <br />:.:.:........... <br />.......................................... <br />/ f /, <br />�� ✓ ................... <br />Sunerintendenl <br />IN LA <br />11 r LABOR AND MATERIAL USED <br />No. size <br />....... ........................................... Lead Connection Complete <br />..................................................I Saddle Complete <br />..........A_-.._...ft. ........I " ....................j...............Pipc <br />............ <br />I..._......_... _�.. r.............. Service c I <br />................................................... Semicc Box Q <br />^_........... .4:L.... ..... ....P.�.,,:,r..'% <br />1................. --fy.If..... _...... ..... ...... ......._C�.. �....�)_...:.i_`�........_..._............_ <br />No. Hours Labor........................................Cost................................................................ <br />Cutin ........................ Pavement ....... _........... X... ...................... - ......... _...... _... Sq. Ft. <br />L.... ............... X...... I................... ............ _._....... .. <br />(!, F-" ......._.......... X............... .......... .. <br />2� <br />Total ......................Sq. Ft. <br />OrderReceived ........ ........ _................................................................................ <br />WorkCompleted..........................................................._........_.........._............. <br />Foreman <br />