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s. a. rA¢n� aw � (, �.. � <br />w. o. ronrn o <br />TY O ERETT--1X1ateL Dept. <br />Application N�..��..����.7...� Date...._�.�...........�..—...........19.�1� <br />/ <br />Install....... _'?.� ....:........inch water service pipe <br />F�r .................. .....................................: <br />..... _ ................ .......................... <br />On ............._.._�..��... . a�.-�.....�1`:�fC,....�:.�:�.I:.�'?^-._ --.. Street <br />Lot ....................2....'.��. ...�� Block No..----....�_�.,�t..� <br />� ............... . •�----- <br />:1d�;ition ................................................................................�--�--....... <br />............. <br />remarks �� <br />........ ........... .. . . . . . . . .. _., . . . <br />.. . .. .. . ... ... - ..... ; , ---.. .... ... --- -.......... <br />.._ ................................... ...... ..:...1:.1.f...r...:.....::.:,n: �.... .-------.....----.... <br />Superintendent <br />LABOR AND 11tATERIAL USED <br />--_ No.__j Sixe --- <br />......._ ................_�........................._ Lead Connection Compiete <br />...................................................... �addlc ComPlete <br />� <br />.._.....1..'..t.......ft......:..d ................. ....s_ �..�,/:.!............_..................................._..Pipe <br />� � Service Cock <br />........................... ....... _ 7...... j,........ <br />.................................:e ::..!........... Scr: ice Box <br />i _� <br />...... _...-1 ............ ..... _.................... <br />: <br />�, .J...:../..,........_ .................................................._............................... <br />! <br />� ..Av........ � ,.i . . <br />..........--' ..................� ...... ......1.. ._..._1.................................................._................................... <br />( � :, <br />_.../ ..................._,................... ....�::: .. ..�..,....._.............. ................................_.............................. <br />No. Aotu�s Lsbor.. <br />Cul in.__......._......F <br />...... ........................Sq. Ft. <br />....................Y........................ �� <br />................. ...X........................ <br />.................... X........................ <br />� <br />---- _ . _ <br />Total ........................Sq. Ft. <br />. <br />---- <br />P.emar r.n.._ ...............................................................__... ._................ - -......... <br />_..... _.... _ _ ............................ ........ <br />_ .........................................................- -.., <br />. r� ,/ ' <br />�)1'C�C'?' 1''.BCCICC��._......r.....�..:{�i.....:...L:....... <br />\VorF: Comple.ed..::.:......�.;:!:.....:....�.`......._. <br />........... �..........Foreman �/ <br />