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a �. rninr a��el/ O� d 7 J % <br />w. o. roew a � ' � <br />C TY OF E RETI'--Water Dept. <br />Application No.l �:.�'.,.`.�./.... D�te........�.:........:� ......................19.? � <br />, Install......_3 �� :...............L�ch water service pipe <br />For .....%%%� .i. � « .ti-'-- .- ; :� � .�`:'% <br />..._ ...:.....:...........................<...:.......:..:.::.................... .................. <br />.............�'���� �',-� �/ <br />On ..._. �....j.�..f:....`/�:c.r-``---.�:::..._^_..:.s.:_.._... Street <br />Lot..................................��'.":................... Block No................---....._........... <br />�v? ._`; <br />�� <br />1: <br />LA60R AND MATERW. <br />�- n � i . <br />...................:......""'..... <br />� Superintendent <br />............... Lcad Conneclfon Complete <br />............... Saddle ComPlete <br />...............I ..............................._.......................................Pipe <br />. ............. Scrvice l:ock <br />............... Se:vice Hoz <br />No. Hours Labor ..............................................Coat.............................................:...... <br />Cutin ....................Pavement....................X......_............... ........................Sq.Ft. <br />....................X........................ ,� <br />.. .... _ ............... <br />....................X........................ �� <br />......... .............. <br />....................X....................... .� <br />........ ............... <br />Total ........................Sq. Ft. <br />�---------_--- — <br />Remarks ................................ .............................................................. . <br />................................................ ............................................................. . .... <br />Order Peceived .......................................... _................ ;....._ <br />\Vurk Completed..........Z.-..'/..:.::'._1 ....................................................... <br />Forema <br />