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es 461 <br />W. D. Form ) ID.Xi SL.76 <br />CITY RUERETT•••Water Dept. <br />Application No. Jute.,r..:.:`- 19..:_...� <br />Install . /-z. inch water service pipe <br />For.-. _ . ............ .._................. <br />On <br />Addition <br />/ 1 Boc No,. <br />.__..._.c ...'.Y.' )r. <br />Remarks % <br />�< <br />......_.. _.._.. '.._........... .. _ _....�._.. <br />Sun+dmwdem- <br />LABOR AND MATERIAL USED <br />No. <br />_.. Lead Connection Complete <br />_...._ .. .. Saddle Complete <br />..ft.___..Pipe <br />Service Cock <br />Service Box <br />... <br />No. Hours Labor., _ <br />.A. ....... Cost._ .../• i .. <br />Cut in _.. __...... _....- Pavement .... ....... ..X. ........Sq. Ft. <br />X .. <br />....... X.... ... �. <br />.. .. .. .. <br />..... X <br />I' Total ..........._,Sq. Fc:"�,: <br />Remarks <br />..._ ........ .. ....__. _ ....... <br />..._. ..... ._ ..... _ <br />Order Received <br />Work Completed _ <br />F.r�mm <br />