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W ❑ Form J 115 51S6 � <br />i}pp E- <br />CITY �F NE.RETT.-Water Dept. -- <br />Application No___ . ..... Date_.._..._. ....19 <br />Ld Inst❑II . _ _._.. .._..... inch Water service pile <br />For..._...,_..._''.12.:f.<<..__...___.__....._..__.r.....L.._._.._....._-----._' <br />Street <br />On <br />Lot 1...n .._ ..............Block No..-...Y� _ <? _.... ... _... _..... ._..._.. <br />Addition <br />t . <br />Remarks_ . _- ....... ............. ..... .____.. <br />//M2z -jT_.... ........ ................ <br />_ ._. <br />s. <br />. 'sowtint«ta. <br />LABOR AND MATERIAL USED <br />No Stu <br />Lead Connection Complete. <br />Sad a Complete <br />I'Ipe <br />Service Cock 'l I <br />Semice EI x �. <br />r.o. n,.vr, L,i,,,t C,,t <br />Cut in .... _.._-_... Pavement x _. . _S9. Ft. <br />N. _...... . ........ <br />l�,39 <br />Total _..... _... <br />_...Sq. Ft. <br />Remarks ... . ........ .... . ................ — <br />....... ......... .......... A.....__..___ __.. _ ........ <br />i <br />Order Receiver!__. . . <br />Work Completed _ ..._ ......_...... <br />Fanm.n <br />