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W. J. F rm ]����_. <br />S. J. Pricho <br />CITY OF EVEST;. Water Dept. <br />24 <br />cu •, T: <br />Application _-- - Dote _ 19/ <br />nstall__________ ______inch water service pipe <br />Porgy :_........... <br />2n r Street <br />/--------- <br />Lot ------ ---••- Block No------------- ---- ----- <br />Addition -------- <br />Remarks... <br />---i <br />..._................. <br />---- <br />z� <br />� � SuGenatnndent <br />LABOR AND MATERIAL USED <br />lead Connection Complete <br />Saddle Complete <br />3----- it- _ �_ <br />Cam , f.r. _______________Pipe <br />_---- Service Co , <br />-- --- ------•-- <br />--------- ---- Serviee Box p <br />.:! 1 6s" --- 4 4 --- <br />-- ---------- <br />................_..--_______.___.-__ <br />No. Hnure Labor _______________—•-`--Co _.. _,---_ _______________________ <br />Cut in ............ Pavement_ --------- X --------- ...............Sq. FL <br />X-.: _ <br />- ------ ---X---------'---- ., <br />-------- --- X------ - --- -------- <br />Total ...­ Sq. Ft. <br />Remarks-------------- ------------------ --- -- <br />Order Received ------------------------' --•-----------•-------• / <br />Work Completed ------------------- ---- ((!! <br />Por.man <br />