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omw <br />5 J. <br />�_ � <br />W. <br />8 13 3� VERETT--Water Dept. <br />Application No`�.�...-r.. I� <br />.'Date .................. <br />f...... l <br />nstall.. inch kater service pipe <br />Forw............ ___................................. <br />On .......r.... Gi-:::.......:.✓.-. Street <br />..._..........---......-..........-... <br />i <br />BlockNo ..................................... <br />Addition n •• - <br />Remarks ................ - - <br />. <br />�n <br />.......... _.................................................:................................••—.---.............-......L' <br />Superintendent <br />AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Co let <br />..................... .......k.G........_.........._...Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor ................ .............................. Cost ............................ ....................... <br />Cutin....................Pavement.................... X.............-.......... ....................-...Sq. Ft. <br />-................... .X........................ �. <br />.............. ......X........................ .. <br />.-' Total ........................ Sq. Ft. <br />rder <br />Received <br />ComPlet�d..1'"...a p.....%.._.For..e.m....a..n........ <br />/ <br />