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I Dr For 3 E� O ` <br />, S. J. Prlrbo <br />CITY0. , VEREp 7 �X�a[cr Dept. <br />S. <br />Application No ------------- Dax _--------------------19_�. <br />inEh water service pipe <br />For ..... <br />�/ Block No .... . .. .. .. ..... . . <br />Lot. _-•----- -cr/ { <br />Addition.?%t, t------•..-'-`-'_ ."_.___ _____ .............. <br />Remarks............ -----`--- ...... ---....................... <br />...................... <br />C-.7- �y................................... <br />=---=--- ----------- <br />Supetimendent <br />I 1 , L I LA90"NAT8R1AL USED <br />......... ... ........ .. Lead S>neean Complete 1. <br />le Complete <br />11_A_____ .._ ----- <br />. --___ ___ ____________________Pipe <br />_____J......... ._�A�._...._.. SCmice CoeI( <br />........... ... ... � n ........... Service Box <br />--....%--••-----� -------- ----- ..�-- ---- -- --._fit..?:._ ---• -•---- °•`�:_.._ . <br />a�-�'� z <br />-----------------------------"-- .....--------- "--------------- <br />-- <br />No. Hours Labor ................... .�s . Co_.2'_J_ _. __.... -------------------- <br />Cut in -------- _... Pavement ............ X.............. ..............Sq• Ft. <br />............ X.,............ �r <br />Y. ............ X--------- ..... <br />1 . _. Sq. Ft. <br />Remarks........ ----•-------------- ---------------- <br />.........................• ...................... .... <br />Order Received ---------------------------- ----- --- <br />Work Completed ------•--------•-•------ ------ - <br />'-•---- Foremen <br />