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s:. rn�e[:� V O � � . <br />w. u. fo��� a� i <br />CITY UF cV ERF,Z'T --W ater Dept. <br />-• ; ., �, <br />Application No..:3.:�._:�.�.'..._. Date....::..::_ :.:.......::._�..::............19.:._:,� <br />Install ...............................i7ch water service pipe <br />• ---- <br />; ri ',:� ' _.. <br />. ..... <br />For .........c..�.:..:.::'.:,......:i....:c.r_'.....:_�....:..:..../ :....................................... <br />.� ' o i,� ,p� �. �,t n� :::.............................__... Street <br />.............-�!•--....:...:...... - <br />On ..................._.. ' h, � 7— <br />�' ........................ Block No......,/_......_...--• �---....... <br />Lot...................................% . <br />Addition ..............._......,.......----.......... . <br />........ <br />........... . <br />.........................-..,..,..... : <br />, _ _c: :�_ - <br />_ �.;..q r <br />�.{i7ti �1�j-:f.......1..........i:�............�-..��wn..."' <br />:'sem rks .................. ...- <br />..--- ................. �� <br />....... <br />........ ..... .. . � � _ .y �� ..---.. <br />. ................ ... ......... <br />.�'""a�s±� ... �. r � - ......:: !::.......... � � . •' . � I. � �C p <br />4,! �� t "' .................... "' .: - i . �� � ' :.:.... - <br />'� � /�/ ! f <br />... . ... . ... <br />� -. ) i � i � �^� � . . ......... <br />. ... <br />:. ..... ..................._ ../sl�".. � SuPermtendent <br />� _........;:.. . s•� <br />� �' LABOR AND MATERIAL DBED <br />Lead Connection Complete <br />Saddle Complete <br />Scrvicc Cock <br />Scrvice Hox <br />......................'----- <br />No. Hours La r.._ ..................................... ............ Sq. Ft. <br />.....Pav emm�l .................... ....... _............... <br />......... . <br />Cut in ............ . ,. <br />....................X........................ ......._............... <br />....................X........................ ....................... <br />�� <br />....................Y........................ <br />........................ �: <br />Tota] ........................S9. Fi.. <br />-- --- <br />.... <br />Rema rks ................................... <br />................................................................... <br />.......... ....... <br />.......................... - - <br />Order Pecei�•c3 ...............................................................� ,....... .................... � <br />; ......,_ <br />. ...... . . . . <br />\Vor�_ Completed .. ......................................................_ Foreman <br />