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w. n. parm o 44 <br />p��ehc <br />CI�'EVGRE T74 Alater Dept. <br />7-17_Application No.. _ _ _ Date.. _. -- -::'. _ �//I . 19_:/�� <br />Install _ _ _ . _ .b inch wat(r service pipe <br />For -----_"-'`/=-------.._. <br />On --- =� 7 y ' — --------t--- - --------•-•-.Street <br />r7 <br />Lot .--------�G------- Mock IVo..-........... <br />Addition ------------- .............. <br />Remarks .--- -- ------------ --------� <br />— --------------.y..................... <br />} <br />/--- S�; nund <br />J I TABOR AND MATERIAL USED <br />34•-in <br />i-• ......... <br />` ..--. .___.. <br />........... --- -•• ... <br />ii <br />Lead Connection Complete <br />Saddle omplctcA <br />------ -' ; <br />-- - ----- ---------- pipe <br />Service Coe <br />Service Box <br />- �_� --------------- <br />------ --- ----------- ___------------- <br />No. Houra Labor -_____._______-__v:C&t./id I____________________________ <br />Cut in ------------ Pavement ------------ X.-- ----______ ---------------Sq- Ft- <br />1------------ X.............. _______________ _• <br />d` -------- ---X-----• -•-- <br />Totnl --------------- Sq. Ft. <br />Remarks_.------------ - -------------- ------------------ <br />-•--•-•------- --------- - _----------- -........ ------- <br />•--- -------- ---- --- ----------------------- <br />Order Received ------------------------- - — -----------_-_------ <br />Work completed --------------------------------------- i.re* -- <br />