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I N <br />S. Prieh .44 <br />CI 4EEREM-Water Dept. <br />7 90' 0 <br />Application No. ...... -------- Date.._-_.---'-. ------ __197_' <br />Install ------- :---- ---.- inchwaterservicepipe <br />For --------- - <br />On --------I- — — ------ ------- Street <br />Lot.--- i 1-1-------- — BlockNo.. ���I'.• <br />A. kin , -1--��-!I-- �..A . <br />I Act► '.-0L__j0___N'--qrP.................. <br />--= -- ------ f •------ <br />1 ft�vgyp/1 -.. __. _ . �_ f� ..-• ---- <br />Xv <br />LABOR AND NIATHRI `.L USCD <br />No. Size <br />--------------- ------ Lead Connection Complete \ <br />-_-___.__--- ��• _.%1..___ Saddle Complete <br />-. __._qq .... tt. ------.________._. pipe <br />... <br />-_-(--- r------ -� --- Service cock <br />/u <br />--- --------------- Service Box .. <br />---- •------3/i{'.._... L�c ._�Qs.z--- L---- '------- --------•--- <br />No. Hour Labor.___: ...... __.._.__ C�7d -------------------------- -- <br />Cut in ------------ Pavement ._-__-.__--_X______________ ----------_.._Sq. Ft. <br />--X.............. <br />_-:�.............. <br />-----------X--•---------. <br />Total --------------- Sq. Fr. <br />Remarks-•--•-•- ------- — - ------------ <br />I----------- <br />---------------------------------- <br />Order r <br />�_ t-� <br />Received.. �___.__ �::.r_L.__�_.:...________.__._-___ <br />Work Completed --------------------------------------- -- <br />