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C�'3O 3 . . ����•��� ,� <br />'w. o ro� <br />- CITY OF LVERET'T--Water Dept. <br />� -, -, (� <br />Applicati:on No_I.J..::�::�...:,. Date........r.]:,:..� ...........................19.. r�� <br />Ins�all....,,.._ .................... .inch water service pipc <br />- � >�/ <br />sor .• ,_�.<.:��:....C.Ct.c�::.��u.:' .............._ ................ <br />.........:... / / <br />'.;c....:x..4j...:�:.. . s._+...a.�.,..i.Street <br />........ <br />On ..........s7..L... J............��.. .-.L. : . <br />T -' -- `/ Block No ....................--.............. <br />Adilition <br />Remarks...................................../... /��........................�. ..... ....................... --.. <br />.....................................................1_:(L.:�.. � .�: :,�.�.. L.e.c•.e.i::.........-----............ <br />� <br />� <br />Superinlendent <br />LABOR AND M:►TERIAL UStiD <br />� Lcad Connection Complete <br />........ .. .......................� Saddle ComPlete <br />..................................................... � <br />Service Cock <br />Serv:�:a Box <br />.........� ........---- � — <br />.... <br />No. Houcs Latior .............................................. o ............. <br />...........................59. Ft. <br />, ....................... <br />Cut�n ....................Pavement.................... ........................ <br />....................X........................ ......._............... <br />„ <br />..........._. „ <br />....................X........................ ........................ <br />Total ........................Sq. Ft. <br />— — <br />— . . .. . .. . <br />Remarks....�,�.�`...,t�^_,f�.l. ��.._ ......................................_.................._....... <br />...............i.............. ... <br />.............�..c.�..-:.L��.�.C�....�....................................................................... / <br />Order Received .. ........................................................................... <br />................. � <br />\Vork� ...-- ..............Fareman _. <br />Complete ..............................................__.... <br />