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CITY `r REft---eater Dept. <br />77G r <br />Application No.....c..^C.R.... Date.. .�f.�.........19 <br />...-.. ' ..inch water service pipe <br />j .Insrtll........�'/:........ <br />For .,_!_4.... ..-- . ....... ...... <br />On ............... <br />.Lt...Y=-......� .1:..._.:....yi..Sttcet <br />Lot................. ....... ..........._ .:.. _..... 131ock N ............... . <br />Addition'........ %........... ....................... <br />LABOR AND <br />Lead Conocctiuu C, mplc<c <br />..........I ............... „-,�,,�.;,Xi_.... Saddle Comnlete <br />3., P�. .......................ripe <br />ft......... fit ......... .... �'�'• ._............, <br />......._�.................. :3�4.°..... ..... <br />. service <br />_...I .................... ..CIO rl t tt �c ..l Semi. Boz <br />......................... ._.41V..-......... �:?:!C�x:�t--f......�,.�.-.4....r�:.............. .............. ................ .... <br />............................ <br />No. Hours Labor...................................e...ccsa...................... .......... <br />Cutin ........................ Pavcme.nt... ..._.._._._X.............. _......... ........... _........... Sq. Ft. <br />11� ....X.......... ........ ....... ........................ .. <br />�r°lr....................X............. _........... ........................ ' <br />LL�t�.................... X........... ............... <br />........................ <br />Total .....I..................sq. rt. <br />Remarks........................................................................................ <br />OrderReceived...............................1........................................................... <br />WorkComplctcd................................................._............................FoMmen <br />