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ra.M' -7T!Y 08F 5EVE00RETT—Water Dept. <br />Application No ......... Djtc .............. ). ........ :..: ........... / ....... /Ag.:=''._', <br />Install..........' ...... ......... . inch water service pipe <br />For ................. 6_1� L_Z'. <br />.... ......................... .. ............ ......................... ............... <br />On .............. f'IZI JF'_ <br />.... ... . 7Street <br />........... . <br />Lot........ .. ..... / ...... ............... Block No.(-.'/ .............................. <br />Addition......... ................... ........ .............. <br />Remarks ............. . .. .... ............ <br />.................... . <br />.............. ....... <br />..................................................... .................................... ........ 7 ........... ......... <br />. ...... .. .... .. .... ........ ....... ... / <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size <br />.. ............... ........................... Lead Connection Complete <br />...... ... .. ­ ...................... Saddle Complete <br />.... ft . .......... ................ .............. ................................. pip, <br />......................... Service Cock <br />......... I ......... Service Box <br />No. Hours <br />Cut in.._... <br />........... . ........... Sq. Ft. <br />....... . .. I ............ <br />.................... <br />.................... . ........................ ==;:� <br />Total ........................ Sq. Ft. <br />OrderFleceivei ............................... ............................ ....... .............. ....... <br />Work: Completed ........ .4­ .......................... ......................... <br />