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81148 f <br />W. D. Form <br />S. IPriebe ( L <br />CIT&ff pERETT--Water Dept. <br />Application No. .�°�.�_ Da - _.__.___ <br />I9 9 <br />j�lstyll.!___ l—')__-___inch water service pipe <br />Forl`% f <br />On.._- / t�(/� �-------Street <br />Lot..... .. .................... Blfckk o......��� — <br />Addition <br />Remarks _.... <br />---- --- - - ---- y_.... __ _ __ _.-__--__._.__-._---- <br />1 Sunarintenlent -- <br />LABOR AND MATERIAL USED <br />____ _ ____ __________ __ Lead Connection Complete <br />-... ........ . Saddle Complete <br />---'--'Z----- it .___ ._. -'__'N : C.2/ .....Pipe <br />�._._ .. ay <br />------- <br />�._r_:_ Service ock <br />-------- _ <br />..._._}�L....__ . Service Box -1 <br />--------------------------------------------------------------- <br />No. Hours Labor -------------- 3-Cast_ -________ _________________ <br />Cut in ------------ Pavement ------------ X—.... ....... ...............Sq. Ft. <br />............ X-------------- _____________ <br />1 L&J ------------X •_-------••-- <br />--------------- <br />/ --------_- - <br />Total _Sq. Ft. <br />Remarks ----------- <br />--------------------- ------------------------------------- <br />Order Received -- / <br />Work Completed -•-----•---- ----- / <br />Foreman <br />