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e. �. rnicec •i 39 �. <br />w, o. roars 3 +�3 <br />CITY OF LVJRETT--Water Dept. <br />ApplicationNo ....... ..... ...... :....` Date...................... ......................19..:.. <br />i <br />]nstall......_a..... inch water service pipe <br />For......./�rf - f... �G.c lug .................................................. <br />On......... ......................................... Street <br />BlockNo ............................ _..... _ <br />Addition.......................................................................................................... <br />Remarks<r:`.'..�-ci-...._.........................._................._.. <br />-n,XK DfF%A$OR AND MATERIAL USED <br />No. Size 1 <br />....,,,_........ Lead Connection Complete <br />Saddle Complete <br />............:�......St.....� ��............... ...:—..�.t;.�................... _.......... _............... Pipe <br />....................1.......n:14-r L, . Service Cock <br />--------- ............................ Service Hox <br />Ne. Hours Labor ... ........................ _.._...... _.....eosu... .._.............. .._...... _............... <br />Cutin .................... Favement........ ........... X....... _...... ........ ....... _.._........... Sq. Ft. <br />1 ........... x................... .. <br />%.........X........................ .. <br />Total ........... _...... ..... Sq. Ft. <br />Remarls.........._......... ...... ............................ ............ ................................. <br />. <br />................................................................................................................ <br />Ordrr Received- ................. ......._........._......................... Ns- <br />Foi <br />Work Completed ........................ ............ ........ .... .....5>s ,n,.... <br />