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, <br />5. 1. M.b��61 V( � <br />W. D. corm <br />��VERE1'I'--Water De t. <br />P <br />_, , <br />:. -. , <br />Application No .::...:....:....:..:..... Date..�..:.:....._...... ..19...... <br />, ........................ <br />Install........:..._ ..................inch water service pipe <br />� <br />i.........,.:i...:..:. ° .. <br />For ........:::.....:..... ...:....:.:::.:_:;. <br />...._ _._ .:.................................. <br />On ..............._�.�: :_'.'::. �: .. ; .. <br />-- . ... _._ ....::................_....._......_..................... Street <br />Addition ......:. <br />Remarlw ....i:k. <br />BlockNo ..................................... <br />....................................................... <br />....................................................... <br />................................. ........ ........... <br />:, . � <br />.............................. ..... <br />v (/ ;�. Superintendeat <br />_ _�. <br />LABOR AND��MATERIAL IIBSD � <br />--_Ne. _� Sizc -----__ <br />Lead Connection Complete <br />Sadd Com let <br />... ... l . �l <br />....... � . . . .Lt .....:...........................:Pipe <br />Sc:vice C c <br />Service Iiox <br />No. Hours L;:bor .............................................Cost.................................................... <br />Cutin ..............._...Pavement..................X........................ ........................Sq. Ft. <br />............... . X............. .......... �� <br />........................ <br />X u <br />....................X........................ �� <br />.............. ......... <br />Total .................. Sq. Ft. <br />-- ---- — - ---- - - — <br />Remarks .......................................- - —_ _ — <br />............ ................................................................................................................ <br />........................................................................................ .................................... <br />OrderReceived..._........._ ..................................::..... _................ � <br />„. ..._........._ <br />.1 _ � -i f',I._ l . ' ,,.� � <br />ti�'or1: Com �leted.%L!...- ' ' . . --� �. � <br />� ...a.........a. .r .......:..:.....G........:..:.......... '-..u......... <br />Foreman <br />