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. Se.. <br />W, D. Forrt 0 .� 1.0 <br />S, i. Priehc �j � 1� <br />CI I gf <br />9ER�,; --Water Dept. <br />dd(3 <br />Application I�atf�•------- -------- 19-,-. <br />y <br />nstall.. __ Y._.._J�_�incH water service pipe <br />For Street. <br />Lot --------- <br />Y3---•- ---._--- _ Block No.'. _ _---- ----- <br />Addition .......... -`----------- -- ............ <br />Remarks....................... ....... ....................... <br />..--•— .. . ......... <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />--- ------------------ <br />Lend Connection Complete <br />__-___-.-__--- <br />_______________ <br />Saddle Complete <br />•I <br />., <br />------�-----.-..... <br />�.._..... <br />Service &C <br />----------- ._. <br />--_----- <br />___........... <br />--- rl <br />Service <br />//Box �/ <br />.LaCLti.a_ .. y4( 'iC•__. <br />No. Hours Labor __________________-- <br />..G cost- �'-'-�=-------------------•------- <br />Cut in ............ Pavement ............ X.............. ---------------Sq• Ft. <br />_._X____--------- ___ ___________ <br />/ _..X-------------- <br />b_------__ <br />............ X.............. <br />Total .............. Sq. Ft. <br />Remarks_ ---------------------------------------------------- <br />---------•---- ---••-----...-•-------•--._......_..----- <br />Order Received ......•----••-- <br />Work Completed ----------------------- — — -----------•--•--•-- <br />Foreman <br />