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„3 <br />s. J. I.icn� 11 <br />CIT L rw 9RIETT-Water Dept. <br />Application No ------------- Date ..L_--_--------- _---- 19 <br />Instal. _- <br />' ._.. .inch water service pipe <br />____....._. <br />For---------•--•------- ---- --------- <br />On --•--•----.�_."_._...'.. -- Street <br />Lot.-- Block No ......... <br />............. <br />Addition ------ - --- <br />Remarks----......-- <br />—------------ .................. ... .............. <br />i <br />LABOR AND MATERIAL USED <br />— No. <br />--------------- <br />--------- _______________ <br />i <br />----------- __- ____-- -------- <br />n <br />J <br />Lead Connection Complete <br />Saddle Complete <br />....... ----------- pipe <br />Service Cock <br />Service Box yy � <br />--_--- <br />------ ._________________________________________________________ <br />No. Hours Lahor................ ._.-F- Coat_ // --------------------------- <br />Cut in ............ Pavement ------------ X-------------- ...............Sq. Ft. <br />X......... _---- _______________ <br />7a2�. X.------ ••------------------- -- <br />-X------------- _ „ <br />Total .---_--------- Sq. Ft. <br />Remarks- --------- -- — ---------- — ----•--------------------- <br />------•----------- -- <br />Order Received ------------------------- ---- <br />Work Completed --------------------- — --------- <br />Forem�n <br />