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�281 <br />� r <br />W. D. P.b� 3M'v.a, i - <br />CITY qFj.- UV�RETT--Water Dept. <br />Application Nd-'.... ...... Date......................._.....................19..._. <br />Install- ........................inch water service pipe <br />For ............. <br />On........._1.." .............._...........................................*.........._....... Street <br />Lot............................................. ........... Block No ........ _._.__... ............... <br />Addition................. .._._............................ .............................. __................... <br />Remarks.............................................................._._.........._............._...._ <br />Superintendent <br />LABOR AND 'MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete / <br />..................................._...� . .......... ... Pipe <br />Service Cock t <br />Service Box <br />OrderReceived ............................................... _................. ....... ..... .............. <br />. l So ....................../ _'.C:......r_ <br />Work Completed ......::...:...........- ._........ J <br />ForcmaQi <br />