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W. D.:ormA0p1.{yl� <br />CkT*P f, EVEREzIT---Wate' Dept. <br />Application No....c/.r�/1..�t. Datc..A}......../...(../..j.............19C31. <br />!I i ,/ <br />nstall...........�3�.-.........inch water service pipe <br />For .r...%................................. <br />............... <br />On.......... ..�.}/... .... .. . �........../.....................Street <br />Lot....---.....14......A......._...........1. ..... Block No.....�1.�.......................... <br />Addition <br />Remarks <br />It <br />Lead Connectidt�Complete <br />,ir...Sr.... Sa die Com(Iat ' <br />11.1 <br />.......... t� .........Pipe <br />.......»... Service 1 <br />a.. Service Box 7 u� 00-yyf•N' p 33 --{{ <br />No. Hours Labor .......................... _.... .d.... Cox,.(e.:.l.Y_..................... ._............... ........ <br />Cutin.......................Pavement................... X.._._............... _ .......................Sq. rt. <br />........... x...... _..._»....... ..... ........... ... .. <br />y�u .car/ .................... x........ .................. ... _........ ........ .. <br />.................... x............... I.......... <br />Total ........................Sq. rt. <br />Order Received....................... ..................... ............. ............ ......... <br />Work Completed ......... _............................ ':: ".......i..c..r _ ..........:�`.. <br />/ � Pmeman <br />