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/IL 4,, <br />s J. Priebe4M, 7-4629 , 7 1 <br />W.'U. Puhu , ' <br />CI Y OF nERETT-,Water Dept. <br />Application No..-r'...`i .. .. _! Date .......... :...... _ . ......._........_....19...... <br />r <br />Install........1,1....f ...............:nch water service pipe <br />For......................................... ................... _...................................................... <br />l _(, .... Street <br />On _.....'.. . <br />rr ............. Block No ........ -........................... <br />Addition.................... ... :1............... ................................................................ <br />Remarks....................L:. i.............:..._?::.:.-...................._..................... <br />:D <br />....1.................................1/ .....�.,.....f: ........................ <br />......................... ........................................... l....... ✓...��__�!... �:.:!_!c:�:...... <br />Superintendent <br />LABOR AND MATERIAL ABED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .................................................................................................. <br />Cutin....................Pavement.................... X........................ ........................Sq. Ft. <br />. <br />Total ........................Sq. Ft. <br />Remarks.... <br />.............................................................................................................................. <br />OrderRr_ceived.............................................................................................. <br />WorkCompleted...........................:.............................................Foreman <br />