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wf),,,,44676 Ik <br />CITY CQ,F?WERETT --- Water Dept. <br />Application No...... Date.......' L, � ........ .................... <br />Install ...............:__......inch water service pipe <br />For ...... <br />On....... .... .................... ........... <br />............................. ......-..-Street <br />Lot........ I ........... I ! ................................. Block No .............................. <br />Addition........ ..................................................... <br />Remarks ............................. <br />.............. ... ....... ...... <br />..... . .............. ................................... <br />Superintendent <br />LABOR AND MATERIAL. USED <br />Lead Connection Cemple'e <br />Saddle Complete <br />C- .......................... . Pipe <br />Service Cock <br />SCIVICC Box <br />. ...... ................. ........... ................................ .... <br />...................... ... ........ <br />No. Hours Labor ................. ; . . ............ y ..... Cost7..,;�,�LL ............................................... <br />Cutin ........................ pavement .................... x .......................... ........................ Sq. Ft. <br />................... x ....... ...... ........... ........................ <br />.................... x .............. ........... - ...................... <br />.................... x .......................... ................ ....... <br />Total ........................sq. rt. <br />Remarks ......... <br />...................................................... ...... <br />.... . .. .. .. . . ................ ....... <br />Order R ec e i v cd- ... <br />. . ... . ....... .................. <br />Work Completed......._ ....... �i'..;.7 ......... . .......... <br />........... I .......... ........ <br />