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Y' <br />5 1. P�ie % � � <br />W. D. Fo���� � G -Y' �� '�� � =J <br />VERE�--VUater Dept� <br />Application No. � l:_�...1..'.. _ . Date....... �. �.:�.: ` : ......i... ?.........19_� % <br />� Install..........:3/�',°,._.___.incA water service pipe <br />For ..........j_r..'.��.......... �_`�.r::''.:c�J.-.s.:,::,r .................... .. <br />. .......................�--...... <br />Ou ...............n2._`.�---_a....? ........_��...:.^...�:aa..::.1 .n..�..---..... Street <br />Lot............_........_%..i�:� ::...................... Block I�o.........:. ..!,%.a. ...---... <br />. � � <br />Addition ......� r�.::L.::G..:�.:'..G..2..r..........::.....�,`� ............... <br />.......................... <br />Remarks........_��^ ..........-----.... ;1 ....................�...............:...-------............. <br />) � „ <br />i <br />............................... ..L.f.:L:L............'.: .�%..........:!]._.:.:. ': Lr..t._.Lc......... <br />....... - . n ..................................................................................." <br />j ('i �...� ................. <br />. / O . `�-.� - <br />..........:.._p.:_ �,....�...."'..... ' ' "....._....." <br />. ............................ .......p <br />f ,C ,r......._"" ' <br />.�...._...._._...:..1..1...._.._._.. --- ; I� ; , �-�< , , � . ., <br />,: V:I�1 a� <br />, ;� ,� . <br />�i f LABOR AND MATERIAL IIBED <br />"� SIze ��. — <br />��•-��•••�������������••�••...•........... Lcad Connectiun Complete <br />....................�....�........... Eaddle Complete <br />/ , . <br />�.^ ...............f ../. c..._.,.....I ............._L�...h'a.1c'.,.�._::.::..:...........................Pipe <br />� ......... .. . <br />ft.. .. 1. scrvicc cock% �; <br />Scrvicc IIox <br />.............................. <br />.......................... ... <br />No. FIours Labor ..............................................Cost................................ <br />.... _............ <br />Cutin ....................Favemcr.t....................X.............. ......... ........................Sq. Ft. <br />� .................._:Y........................ �� <br />....... _ ............... <br />....................}�....................... .� <br />........................ <br />....................}C........................ �� <br />. ........................ <br />Total ........................Sq. Ft. <br />-- --_-- <br />R^ rr. a r k s .. ........................._. <br />r <br />...................................................... <br />Order Received ........................ <br />'•.`,-ork Completed..._ ................ <br />......................... ..........:...................... <br />...........:..:............... _ i.....:................... <br />Foreman � <br />/ <br />