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W. U. Forma " <br />S. J. ikie6e 4,69E Ira <br />CIT&�VERETff--Water Dept. <br />(-Li-Yo 1�. <br />Application No ---------- Dare.19.. <br />Install.... _ _ . _ . -inch water service pipe <br />t.t.- <br />For --------------'--`--- -�-= � =- ' - ---------- - ---•- - <br />On -----------------.-- ------- ------ i'.Street <br />Lot.----- f------ ------ Block No.. ( - <br />Addition --- ------- <br />Remarks - ------- --_-'--------------- <br />------ <br />---------------------- <br />,.. - <br />i Sliberintendent <br />LABOR AND MATCRIAi. USED <br />No. Size <br />----___------- - _.-_---__ Lead Connection Complete <br />............................. Saddle Complete <br />n <br />----••--.---• - ----- --------- Service Cock/ <br />_._....... .................. Service Box <br />No. Hours Labor___________________ Z Co t./: 4 J ........................... <br />Cut in ............ Pavement ------ .----- X .------------ ---------------Sq. Ft. <br />J. <br />...... - _. X..... _______________ �• <br />�J <br />-------- --- X........... --- ............... <br />Total --------- Sq. Ft. <br />Remarks---- ------- - ------------------------------- - ------ <br />---------------- ------- _ -------- -- - ---- ----- <br />Order Received ---------------------------------------------- <br />Work Completed---------------------------------- ------ -- <br />Fmemun <br />