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T--Water Dept. <br />A$p1:eM0wn No............ Date ... ......... MAR_1.... ............19.._.. <br />install. ..... ...................... inch water service pipe <br />For...... ...... �c ..../.c...:...... _:....:. /........................__.._ <br />On......:5 ,P .l;i .......... .2..€L.:.... ................. ........................_....... Street <br />Lot............................... ............_............... Block No ....................... ...._ <br />Addition........................................................ ..................................... _........... <br />Remarks.............................................. ........................ _.......... _..................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />......... ............. I Service Cock <br />Service Box <br />No. Hours Labor.............................................. Cost .......... _.............. ........................ <br />Cutin....................Pavement.................... X...... _....... ....... ....... ... _........ Sq. Ft. <br />