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L�J. �ql[�L ::M � ! . <br />W. O. IOqM 5V1 l 1� �� • <br />O E RETT--�YJater Dept. <br />Application DIa...l��.i{:�..� Date....�.:- ..........:..�...............19.-5 � <br />� Install... ��:: � ...............: inch water service pipe <br />!�.'-: "� �..: i ...................._. <br />For ........................... .........................._.............------•---.. <br />- • : <br />On ................_.l r .1...`s'.---.1 ��.f.t:.. .i_.lr..,�t: :^_�....................... Street <br />I.ot..---•-........__..........-• ........................--.. Block No.............---_...........------- <br />Adilition ...................... . . . . .. . . . . <br />. . <br />.... ..... ......... ... <br />..... .... .. ... ....... ..._... ........... <br />F.emark; �..; �:�� rc.�i- <br />.................... .. . ............. _........_......................................... <br />...........................................................r.. /......... .�...i._� ......................---�•--- <br />...:.......................'---...................----/• ,.7 ::.� �..:t'::.: !t. .0 �....._. <br />/�� f Superintendent <br />No. i Size <br />Le1BOR AND DiAT^•,RIAL <br />Lead Connection Complete <br />Saddle Complete/' <br />.............................. L�;��:�.I...:..................Pipe <br />Scrvice Cock �� <br />Scrvicc Dux <br />No. Hour� L�bor ..............................................Cost..............._.................................-- <br />Cutin ....................Pavement....................Y......._............... ........................S4.Ft. <br />v �� <br />....................X........................ �. <br />........................ <br />....................X........................ �� <br />........................ <br />Tatal ........................Sq. Ft. <br />---------- <br />-- — <br />Rem a r Ics ............... ............................................................................................. <br />............................................................................................................................ <br />............................................................................................................................. I <br />Order Pcceived ...................................................:.. <br />. � ..... .............................. <br />I�; � � % <br />\Gork Completed ...............3.P--.:.....5...:..............�:...1�'�t-!:'�...------........... <br />Foreman <br />