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�v�'34� . . ;��::�����. <br />w. o. r w 7 v` <br />� CITY OF E�/'ERLTT--Water Dept. <br />,_ ; _ <br />Application No%.:: :..::_ ;�1... Dnte .............:1.......1.......................19_L :. / <br />,- 7nsta1l ......................:..... .inch water service pipe <br />� �.- j , <br />For ..��.� .: �: �'_t:..f :............C: � :./..._-.::,:.................................---................ <br />1:� , � - -_ .�� . <br />On............... ...1..:.s....:,.......... �'.7.i....: �.:r...:....-................................ StrePt <br />T.nt _ Z� JZ ......................... Block No..................---............... <br />- - ... .. <br />Addition <br />Pemarks.........................�.,........................!_...---........................................ <br />..._........_ _ ............................�. :�': i: °..!.4.`.,l.�Y...L::. :".`.� �: �..................................... <br />� <br />No. <br />..................... """ <br />_'_" ............ . ..... <br />L:IIIOR PA1�D MATERIAL USED <br />Lcad Conncctiun Complete <br />Saddlc Complete <br />............. . ....................... <br />............. Scrvicc Cock <br />............. Ser�ice Box <br />Superintendent <br />No. How•s L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavemcnl....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />.....___........X ........................ �� <br />........................ <br />....................X........................ �� <br />Total ........................Sq. Ft. <br />— ------ — <br />Remarks .............................................................. .......................................... .. <br />.......................... ...............- - - - _ _ <br />OrderRecei��ed ........................_.............._ �............................._................. <br />\Vor}: Completed ......................................................._...._........_..._..... _.. <br />Forema <br />1 <br />� <br />