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,/.�'' 9 9 J► - a <br />� �--Water Dept. <br />� <br />Application No..�-...1 _—r.. Date .......................:.......... .........19...._. <br />... <br />� instal ...r.:.'::::......._......_.inch water;ervice pipe <br />_- <br />�'� i"� <br />i , <br />� ,, � . <br />For /� � . ; . <br />...........:.. ................:.......:.' .r..............................................._..................... <br />On..............__......i...:..�.::...................'....._�..._....:............__............. Street <br />�ol_............ �.�.' ........................... ......... �loc}: Nn.................,.............,..... <br />r._ . 1 ._ " � 'il'.. <br />:lddition , , '' . <br />..........................:......_....:.........:..........:../..i...:.......................:... <br />Remarks............... ........................ .............................................................. <br />__-......_........._............ - - ..... - -- <br />_ . ........ ........ <br />.q..' ......................................................._.............. ............. .......... <br />� j •l -- <br />. �::_.0 ....................._....._...........,...._.................;... -... ...................... .... <br />_�.....:..:� ::.' ' ' � , <br />/ _._._....._ _. �� .....................................:.j......c............:............_ . <br />/ Superintendent <br />f �: ii y <br />. �/. <br />I.�1ROR AtiD bi,lTEliIAL C1SF.D <br />No. i Sizc ____ <br />.___ _ ._—______._'_ _.__—__—_ <br />_.._.._..._...... .��......_........_......_��, Le�d Cnnneclion ComPlete <br />....... i:eddlc Complctc <br />..._. __._ ................................... i <br />_._ _... _�/.�.ft....��5/....._ ...:::a.�.R..r.i_......._.._ ....................................PiPc <br />__.........._......�...._��:�.� .............. S;1'JiCC �.ock <br />.........................�......._.................. ScrriCe BoX <br />.....__ ............................................. ..._....._.__.._.._ ........................._................................._........................ <br />No. }Iours Labor ...................._......._..............Cost.................................................... <br />C��t in ...................Pavement......__.__.....X............__........ ........................Sq.Ft. <br />�� np.<e.�j ....................X........................ ........................ .� <br />/. � <br />� � ...._ ..............�__.................... ........................ .� <br />� ...X....._ ................ ........................ �� <br />� ,i . .t�.�.�..� <br />............... . <br />-.t�:.� Tolal .................__...Sq.FI. <br />�. <br />Remarks.........�..5._� :a.... .. _� ................................................ .......... ... <br />� <br />r � <br />. ....._.... /� <br />.._...._.._r!.....J..w.L.u'..Gt.'' .._.'.?:LS.i .:................................................. <br />__ ..................._.._..L�....:.11:w(.w.a........................................................................ / <br />Order Receiced. ....... .. ..... ...... <br />— ` <br />\Vork Cmnpleted..i - /i .- <br />� _. � . _. _.. _ _..... <br />Forcman <br />