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w. n. <br />1 S. 5553. <br />. Fri«ne I <br />CIVr,WI IERETT— 'JVater Dept. <br />Application No-------------- Date------ ----------------19_--- <br />Install_______________inch water service pipe <br />For=- --•-•-- -------- -------- ----- ----------- <br />On / ----'-'----------------------- Street <br />Lot.--------- --------------- Block No.. -----------_-- <br />Addition <br />Remarks _____________ <br />•-•----------------•----•-----•-------------•-•--------- --- <br />LABOR AND MATFRTAL USED <br />No. <br />Sire <br />_______________ <br />_______________ <br />Lead Connection Complete <br />_______________ <br />_______________ <br />Saddle Complete , <br />ft. <br />__________ <br />__________::^=__.__Pipe <br />_____________ <br />Service Cork <br />--------------- <br />_______________ <br />Service Box r <br />���=j'VV`�-(�_:���7,-- <br />—.-- <br />-----•------- <br />No. Hours Labor___________________ N_ Co4f.'-i_rt(_________________.__________ <br />Cut in__._._.__.__ Pavement ._______..__ X______________ _______________ Sq. Ft. <br />ti--X'----•••-• -- <br />---X ------------- ---------- <br />------------ - X-------------- <br />7r �^ Total <br />Remarks____. t 1 ,___----__ <br />C. 0. <br />._ ___ !L ________.___ <br />$'6 ` N. _u s e <br />------------ <br />Order Received <br />WorkCompleted --•--------------------------------------------- <br />Foreman <br />