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W. O. <br />5. 1. Pricbc �rl <br />CITTO%JVEREM-Water Dept. <br />�k�6-i- 4 -/ <br />Application No._ G�C? %�y Date._//.!-'w�_�•19_a <br />1%I rich water service pipe <br />For <br />GJ <br />_________________ Street <br />Lot-- — ---------------••------- Block No ................. <br />Addition ...........— <br />Remarks ,7 <br />-------•--•- •---- .............. <br />-------------- -------------------- <br />---------- -- -- -- -- -- ------------ <br />LABOR AND MATERIAL USFD <br />No. <br />Size <br />........... <br />........... <br />Lead Connection Complete <br />--------------- <br />....... �:..fr. <br />------- ....... <br />„ <br />.-----// <br />t .r,�...... <br />Saddle Complete <br />'--- --------------- Pipe <br />�"t <br />------1-------- <br />----.1.......... <br />-• <br />.G-ItC'U4: <br />Service Cock <br />Service Box X ' <br />_. __...(____.__ <br />.__.. <br />{�L-c�_.__ r'�-mot'• j� ../J <br />O <br />y5' <br />No. Hours L.bor.................. 2J_Cost�: '_______ — <br />Cut in.. ... ....... Pavement ............ X.............. ...............Sq. Ft. <br />r............ X______________ __________••-_- •' <br />e __X . <br />------............... <br />----------- - - ,. <br />Total --------------- Sq. Fr. <br />Remarks <br />---------------------- ------------- ------------------------- <br />Order Received <br />Work Completed ---------------- ------------- <br />Foremna <br />