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w-n-Ferma 43 17 �4 <br />S. �.. 1i0 ■■■ <br />CITY F E ERETf -Water Dept. <br />Application No------------- Datc ------ '----__-----'---19____ <br />lnstall. -_ _ ,:.... - _ _ _ inch water service pipe <br />For-- ------_-•--------_ ------- <br />On-- -------------•---- ---------------------------- Street <br />Lot_-__:-t:.- — ------ Block No.. <br />,,Addition -.K- T- ----- ---- ------ <br />c(,dz +o l4 p --- <br />--- <br />1, <br />________________________________ - 1 1. c _ <br />Sunerimendmt <br />i <br />i <br />LABOR AND MATERIAL USED <br />______________________________ Lead Connection Complete <br />/......... -?//_r-_i:___. Saddle Complete <br />-----C- ft. ...... <br />e- <br />..—teta_r-z•------------•--------Plpc <br />7 f <br />........... _____ Service Cock <br />______________________________ Service Box _ <br />3 "--e�---•-- �-- <br />� c. <br />--------- <br />----------_3/ ., %� (sec ��nC - ------------ <br />�' " <br />----------------- <br />I---------- 3ia=' a ' �t'� �.=--------------- ------ <br />No. Hours Labor__________________ `_Corp 3_9y__..______.r___.__-___-____ <br />Cut it, ------------ Pavement ------------ X______________ ---- ---- _...... Sq. Ft. <br />............ X-------------- ------------_- <br />/r ---X ------------- <br />Total .... '---------- Sq. Ft. <br />Remarks---------•----`---------- ----- — --------------- <br />------------ = `•` C------------------------- <br />Order Received ------------------------------------------------- <br />Work Completed---------------------------------- — ---- -- --- <br />Foreman <br />