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3. „ nwiene �� L � � � • • <br />w. u, roAia a <br />CITY OF E`•� rRE'TT--Water Dept. <br />, ;;,� . <br />Applicafion No ...............:.: .J. _ Date...._':�......................................19...... <br />, , <br />�� __ � Install......::i' . :.................inch water service pipe <br />� - , <br />i: /�.l '�.'..:. <br />For .............:..:.:..... ............... ...........:_.._...._....._.................................... <br />On .._�....'�?�(.!..:-:.::_' ....... .... . . '. ..'.......-- --- - .............. Strcet <br />. . . ................... <br />I.ot ........................"`.a-,...�; , Block No..........----------.............. <br />................ <br />. <br />n�?Qition .._ .................. ...r1:�:.�J--...;:..�!....: <br />.....: ..................................... <br />remarks......................................................... ............................................... <br />�1 r, • � <br />, �� <br />' _._:.-- - - ..................................._..........._:..................................... <br />,� t <br />�:..... .� ... ... ........ �; ........................... _....................... ..................................... <br />� ,;19`�5.::'..:_� :...:.:...:.................._......._..............._................,. ......_... <br />� / 1 ,;_ <br />, •>;,��:n;c+S�./�t;_�:..1... <br />........................................_........_.............-�--- <br />. _�h� � _ , �� :� j, ' Superinlendent <br />� . <br />\•;;....,. ,._ Ii _, , <br />_,_t_•_ , ' <br />I.AlIOR ANU 71fATGRIAL USL•'D <br />No. Sizc <br />.. _ ....................... �'........_....... <br />. _ _ _ _......_......._....._...._..... <br />__...._......`�...ft.......� __.... <br />........................_ _..._.__...... <br />� <br />_.�� Lcad �onnection Completc <br />. �' S�dclir Complete <br />i <br />.... .....:..........._................................. <br />, Service Cod: <br />.... Sec'.'ice IIox <br />i <br />DIn. i'.ow�s L:ibor..........__........_........._...........Cosl...._....... <br />Cul in._....._........Yavemm�t_._......_.......X..._......_....__... <br />� .. � ,, � � ....._...__......... <br />�. . ..................... . <br />_ �� <br />�.. � ...................X._...._.__.......... <br />Total <br />........................Sq. Ft. <br />........................ �� <br />........................ .� <br />........................59. Ft. <br />...............................................:<C._o..L.L.i.t:J....._.�..lt;.::.....y....:..i..:..�........... <br />i <br />.................... ...................................:............_.._.�........."'"""................................. <br />OI'CiC'£ .''.t'Cl'L!'C:'�.._............_ ........................................................_._............... <br />1'v m�l: Cmnple;ed...t<..::.:?.:,:.:...:�..: � .' : <br />, > , , <br />.;_ ...............:._r......_ �..�....:r..::........ _ <br />Foreman <br />