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- i� �-���a.b - � . - � ����� '' <br />W. O. IOIIM ] <br />' 'CITY OF VEREZ'T--Water Dept. ,�5 <br />l (i(J `C_.T <br />Application No......� ......... .... Date......:...........�1......�................19..... <br />i'"� � Install...�,�-.�,.'.�...........�h water service pipe <br />I For ......�....1... <br />J � <br />�� << Un .................. <br />r°' �oc........ ��..J. <br />�� Addition ......, <br />Remarks ...... <br />...................r.'... <br />...................... �. <br />x'�-� -?<-' �r��:.u...*rc_ Street <br />............ .. . . . ......... <br />...... <br />in - � <br />..........�..:... Llock No ..................................... <br />.....:;� ............................................................. ... . . . . <br />� .. .. <br />............. <br />�� .....: J... _�;,�-� - <br />.. ..................... ... ..........................�--�- ... . . . <br />^ : �, Superinlende <br />�.'1. LABOR AND MATERIAL USED <br />........i Lcad Connection Complete <br />........ Saddle Complele <br />....1.�`�. /{:..:2c:5-i .............................__.........Pipe <br />...�. Servia� C�ck <br />........ Service Box <br />No. I4om•s LsUor.. <br />Cu: in ..................F <br />', ./� .�.. _� i.c, <br />`J r <br />.. _ .............. <br />.................. <br />............................Cost.................................................... <br />.....................X........... ............ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />............. .....i{......................_ u <br />.................... <br />...............x........................ „ <br />Total ........................Sq. Ft. <br />, � � <br />Remarks.......... �.G._ _�...,.:-c<J::i. ............................................................... <br />..................._.......:�:._.. ,1L1....:�.'.3f..%:..:_ :l:7:_`..^..::1...:............................._....... <br />............._............::....::..J:.Yi.J.::..:...................................................................... / <br />OrderRecei��ed ............................................................................................. ( <br />\Vork Completed_`�...::.`.:� ::1i.. '.........._...._.: �::.:..._.....:..:...e_.^ ............. _. <br />Foreman <br />