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� <br />: �^ � 3 9 3'� - � ; _-�� � <br />T--Water Dept. <br />.. Application Na.,l? �.--'c. �:� Date.._........- . ......r �. �. �.19�. =- <br />. . . <br />::.. .�. `.:-.. <br />Install............���.._.:%...inch water service pipe <br />„ _ <br />For................t �'��r.-X f......., :4.:�./..'.xx�.............................................. <br />On ...........�..�.�..��.....,�.�::�:�s.:.�� ..................................... Street <br />Lot.............................................................. Block No..................................... <br />Addition. ................................................................... - ..... ---- --- --- <br />Remar . �.T.<...+._:-_<_--::�;.a��L...- ............................................. <br />.......:: .z:f.c:-t:c.,�..t.r...._ .�1.�:rr�.�.��-5:..:c4: -:::'..... . <br />. .................................... <br />...................................... <br />............. ... ............... <br />. �� � <br />. , �; <br />...... �. �......¢.n...�,7:� � <br />;:, <br />.:,�. . ,—' <br />, br, <br />t�.: RS � <br />No. �ze�� +. <br />................ ....... .. ........................... <br />.................�...it..... � / y.............. <br />.....................1.... ..._�.l..� ............. <br />� <br />AND MATERIAL II9ED <br />Lcad Connection Complete <br />Sa�idle Complete <br />.�._C�., �..' ...:..:...............................................Pipe <br />Scrvice�Cock <br />Servirc Box <br />No. Hours Labor ..............................................Cost.................................................. <br />Cutin ....................FavenicnL....................X........................ ........................Sq. Ft. <br />� /-r <', �, .... : , . : ................. _X........................ ........................ �, <br />� ....................X........................ ........................ �� <br />....................X........................ ,� <br />.......... ............. <br />Total .... ..............Sq. Ft. <br />------ ----� — <br />Remarks....................._....::.....!: ' ...:,.::.....:.:.:................................................ <br />- � ,i <br />�; <br />... .......................................�. . .:.1.��' .Cf.L.�:.._.:l.:J ...��................................... <br />.................................................. �.... �.................................................................... <br />OrderReceiced ............................................................................................... <br />\Vork Completed.:?...:..1.....s :...:.................._.::! .?_�.1.,;:::,'..�_.:�.............. <br />Foreman <br />