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N'. U. Form 3 6 8 <br />ERE ft---Water Dept. , <br />Application No .... .___.............. Date ..... :............._.............:.;i....:.....19..... <br />'.:. <br />Install... ........ - I .... ... .... inch water service pipe <br />For <br />On .................. Street <br />Lot................._. ..................................... Block No........... _�1...........•----'--' <br />Addition.......... -o f......................................... <br />..................... <br />.......................... <br />/.. Gi0/ ' <br />Remarks. <br />141 ..........4.1.................................................................................... <br />................... ?1............................................................................0................. <br />....................................... <br />.................. ...... ......................... <br />SuVorintendent . <br />r. LABOR AND MATERIAL USED <br />No. <br />Size <br />...................... _... <br />. ...................... <br />_ <br />Lead Connection Complete _— <br />........................................_..._.... <br />Saddle Complete <br />............. 8........ (t.......�.'�...._.... <br />ti <br />......L �.>�..��s/�'i�.......................... ........... Pipe <br />........................... <br />........ _.............. <br />Service Cock <br />........................... <br />.... _.................. <br />/ , <br />Service Box <br />........... .... ........... <br />.... ...... 1.............c?.......... <br />......................... <br />......................................................... <br />_.... ...................................... ........................................ <br />No. Hours Libor ............................... �..- ...... Cosh✓+3y............ _...................... _.... __..... <br />Cutin ........................ Pavement. ..... _.._...X.._..................... ................... _... Sq. Ft. <br />.... ............... X................... ...... ........................ .. <br />....................X............._........... ........................ .. <br />'n't'1,4L ,. <br />Total ........................Sq. Ft. <br />_e <br />Order Received ............................... -- <br />Work Conwlctcd................................. <br />Fm vm�. <br />