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' S. J. PnoYe 743 <br />CI"i UWENVERETT--Water Dept. <br />Application No------------- Date_ ..------------- ---- 19_. <br />Install . - - - _ - _ - _ - - - --inch water service pipe <br />For-----------------------•------------------------------ <br />On------------------------ ---------------- --------- Street <br />_Lpt---- Block No- ---- -- --- --- -- <br />G J'd. lam_.-fa..4gO,---------------- <br />Remarks — ------- --------------- <br />... -----•. -----•---------•--- ---- - ------ - ------------ <br />LABOR AND MATERIAL USED 2 <br />_______________ Lead Connection Complete <br />-•__-J..__.. _. .-If ........... Sale Complete <br />&. ._.... a `'. '_--------- '.... .Pipe <br />_______ . Serv'ce ock <br />_. k•.cv -B <br />--------- X <br />3r . C? ,!ti!_< 7/ _9 ------------------------- <br />-- <br />•--------------------------- --- <br />J j <br />----•-------•-- -------�'------ ._.mac-•- ---•- ---•---`'-- <br />No. Hours Labor ---------------- /y.Co,ft._-_q�----------- ___________-___-- <br />Cut in ------------ Pavement ....... _2!L.X!f Cr---------- ............I. Sq. Ft. <br />-- -- <br />_.a!l_XR?...._.--__ != " <br />4V tt Nit. X ______________ •• <br />7 f 1ff ------------x- ----- --- ----- .. <br />l / Total ........._l-Z_:Sq. Ft. <br />Remarks- -------------------------------------------------- — .. <br />-- <br />Order Received -------------------------------------------- <br />Work Completed------------_--- ------------- <br />