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5. J. Pd 619 2 <br />w �:�C�Y' � EVERE -- <br />TT Water Dept. <br />- �- / / <br />- <br />Application No.�:.'..:�:::........ Date........:.._' ...:...:....:.:.....L....:.......19...... <br />,- �. Install...=,�.': L ...................inch water service pipe <br />• � , � �, <br />For .. V/ .-' - ". .jrc�r �I / ' ,. <br />.........� ::.. .......... . _ ............................. <br />/ ; � <br />On .....3.-g: �' ..... Street <br />,%'.:........._...../r:.�t,%.._......._:..:._:z...�._.._.. // ../.. <br />Lot................. f ..................................... Block No.._..::---....---.................. <br />Addition................................................:......................................................... <br />Remarks....._ ........................:..........:.:................. <br />, • • , ..................-...............--- <br />................. ���.c_�.:J.__...''�. <br />......... ....�.. ,c..i • .�. <br />t <br />. .......................... �.......................-----"--....._.. <br />�........ . � <br />... ....... .................................. <br />;�A '; , ....................................................................... <br />( , �::_ ........ � ... � .............................._..........:._,.........:..,.......� .._:.................. <br />� "�. .;�,/��, � <br />' " r � -. '...::.t....:"'........ . <br />1� �y. <br />� ....�re......i. .�..I.L .:.............. �� . <br />...................... �....... � <br />1: ' ' <br />p� � `f�i, � � 5 � �- � � � ...�Superintendent . <br />_��i`,n �__. �- . . . . ., .. � .- <br />LABOR AND MATERIAL IISED <br />--......_ ............................................I S.cad Connection Complete <br />..... .. � Saddle Com et <br />1 �.........-ft:.........�.7/'�lj.........1 ......._� . .� .............................Pipe <br />:::::.:::::::::::::::::. ...../�....... s�r�;�� o � ... <br />....... ... <br />..................................................... Service Bo:t <br />.....__ . ............_...f .� <br />.......... � .:.....:.........:.... <br />� <br />. � .i ,_ _- .. _ <br />No. �I�Ioui�s LuFior ..............................................Cest.................................................... <br />Cutin ....................Puvement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................Y........................ �� <br />........................ <br />....................X........................ ........................ .� <br />Total ........................59. Ft. <br />, '/�.. �. , , �, -- <br />Fec�arris.... �� .:.:r:t:....::.:...�........1i::.........r.:..%.::�..r. <br />_ _ . .................................... <br />prdc� II�.a�i��cd ............... <br />�;�ur!c Cnr„��.�..i..a�Q" <br />0 <br />