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W. D. Forma 1M ��\3 <br />S. J• Priebe _ <br />CITY COF .17 ERETV--Water <br />6-13-40 <br />Date --------'------ ----19---- <br />Install ------- ._ -_._inch water service pipe <br />4pplication No--- - - - - - - - - - - <br />Dept. <br />For ........ _ . <br />On ---------- f' ------ - ---------- Street <br />Lot_ ......... -' /-------- Block No ... - I --- <br />Addition jz- ------------------------------- <br />Remarks --------- — -- <br />_��C�e----------- <br />;ijf!!--.-_-_---------- ------------•-•--- ----- <br />�- -•j-------�-j------- ---- --------------- <br />��._,T•'f------- --.--------------------------- <br />Suyerimm�dene <br />LABOR AND MATERIAL USED <br />-- <br />---•_ No. Size I �. <br />_____ _____ Lead Connection Complete,. <br />.......................... __. Sad Ic Corn lete <br />,�...ft ._ _ .. xjjp ---------- _--------_-...Pipe <br />_..--_____ Servi CoEA �. n <br />Service Box <br />I <br />�.,<,----- r -' -------------- -- <br />----- >`— /--- <br />/ -•---------- ------- -..------- <br />--------------- --'-•----•=2'--Coc_�J �— --_-------' ---- <br />No. Hours Labor --------- ------ <br />Cut in ------------ rovement..__..__..__X.............. ............... Sq. Ft. <br />l------------ X-------------- _____________ •� <br />-------------- __ ......._..- <br />Total <br />Remarks----------------------------- --------------- <br />Order Received -------------•----------------------- -------- <br />Work Completed--- '-'--- --------- - Fore. n <br />