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w. <br />(I. roam a <br />7,,TOYO/FGEVER ETT--Water Dept. <br />rr Application No ... ... I)ate .......... 2---// ................. l90:;::r, <br />Install ..... /I .......... 17 —inch water, service pipe <br />For ............. <br />............. <br />Zjw ......... <br />On..................................................................... .................................. Street <br />Addition <br />BlockNo............_....._ ............... <br />LABOR AND MATERIAL USED <br />......... <br />....................... <br />— <br />Lead Connection Complete <br />........... <br />..... .................... <br />Saddle Complete <br />/1t. <br />i / .71 <br />. . ...................._........................Pipe <br />................ <br />S,rvie6 Cock <br />.......... . <br />....... <br />.............. ........ <br />................. ........ <br />.. <br />Service Box <br />... ..................... ....................................................... <br />I .... ....... . ...................... ....... <br />No. Hours Labor . ..... . .... ......... ... — ............ Uost .................... ........... ................... <br />Cutin ................. . Pavement- .................. x ................... .... ........................Sq. Ft. <br />................ x ............. .......... .... . ............... <br />is <br />X ............. .......... ........................ <br />.. . . ..... ..... <br />.................... X ........................ .................. ....... <br />Total ........................Sq. Ft. <br />'I,-.i,,qrks: ...... ................................ ............................... - <br />— ....... ----------- <br />OrderReceived ...................................... ........ ....... I ...... .................................... <br />Work Cornplcicd�.Z.-:Z/7-��, ............... .............. . <br />Foreman <br />