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5 l.Prieb�M � � ' <br /> w.c.e�� <br /> �T� EViI?ETI'--Water Dept. <br /> Application No...����...C..� Date....Ca:�-.. <br /> .........:•ec:.---------.18�_...� <br /> . <br /> Install........_i�L:-�'....._...inch wat=r service pipe <br /> For ............................................. � <br /> ............................................ <br /> � . <br /> .........._. <br /> Q.� .........�.....-(--.�......... .....�.''::.C.:.':�.C...........--•------ Street <br /> �-'� - <br /> � <br /> L�,t......__......�._�....._...............- - � a.k xo............ .._..Y....:.....------ <br /> A�ldition .---....................F:�......... -.._,.............,,...__...._........ _.......... <br /> /!�.. , <br /> R :marks ........................ ����----'-�`:c.:..:ti.t..:l..:._�L,;.---�---........ ....._.. <br /> . ..................{_....._......................---..._.......... <br /> .................................................. . <br /> .. . <br /> .. .._....;.._.. <br /> ._......................................._..........._...--............ ....._........... <br /> ... <br /> Y: ��-'. ......._......................... �.p.../...�.-�----................. <br /> / �..... 7 <br /> ,_, ......................_ %��..�....lY:._1.... .�..C.:p.i.t�-f�.....---- <br /> ........ � � ......--- <br /> c.� ����� � Su erintendent <br /> J'- �"T _ ,'r�''�" _ <br /> LABOR AND MATER,Lt. IIBED <br /> No. 'I Size �_ _ <br /> ----I �----- � <br /> I.ead Connection Ceaplete <br /> ...._...�./................�...�.................�i �addlr,Complete <br /> _ I , <br /> ....................._ft......_ _�..............i .........��..tf._.I'..a��..<,.L!�...............---.__.......Pipe <br /> ( .�'/�. " Servicc Cork ' <br /> ....._................................. r....._ . <br /> ............ Scrvice Box <br /> ........................................... <br /> g, ,t - .. n , � ���r„ � <br /> ......I................u......,�_ ._ ..lL:........................9u,..-................................._....:-.......................... <br /> , <br /> � � i, i r: ju�.: c.<. � . . , � .: „r . r . <br /> „ , <br /> -._..............1._.....__. ....:... .._...................� ...._...._... .. ........._...c............................... <br /> .............._r.... i / <br /> j <br /> ................_...._... .......................... ..................... . ..... <br /> � <br /> No. Hours Labor........_..........._...................`/...Opat�.....l.L...7..:Z............................... <br /> Cut in..............._...Pavemcnt........<1L�...X._3.�c...........__ ....................�-.Sq.Ft. <br /> ....................X..._.................. ,� <br /> ........................ <br /> � c �-' �if� .................X..._................. ........................ ,� <br /> �� z , , ......x..._............._. _......_............. <br /> �, <br /> Totd� ................_�:...54.Ft. <br /> --- <br /> --------. ..-- <br /> Remarlcs.................--................................._...................... ......... .................. <br /> _.__.._._.__._._........................._..............................._......................................... <br /> .........._._....._.....__...__...................................................................._......._-..... <br /> Order 3eccived....._._,......................v............./.. f . <br /> \Vork Complc,Pd..��. ._`....�.U_"'..�i.��....:.5.'.�.�..�.....�a:e"lG:tt_.._.... <br /> � Foreman <br /> y <br />