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n. Furm 0 0lt�� 1049` CITY ��t"KEV E RETT---Water ,Dept. <br />AP1.,cation No.----` - Date..f,l.._._�.......... ... �............19; <br />/// <br />ne a ............ .............inch water ser4ice l <br />On �. 1�--.�. -------._.....sri <br />Addition <br />Remarks <br />.............. Lead C tuu,,tiou Complete <br />.X.L?..... Saddle Complete eJ^ N." <br />/ �.f.2A.I/..................................Pipe <br />.............. SfR: r;,d; '. <br />............. .I Semicc Box •'a .....<......... <br />'...t.e....?.Q..../9...... <br />..._.................._.._.._....... <br />n � <br />No. Hours Labor ................................... .... Cost......�}:...r...Y ........................................... <br />Cutin........................Pavement................... X ...................... ... .................. ..... Sq. Ft. <br />...A...............X .. <br />......................... ..................... <br />f Ee, c/ <br />.x.......................... <br />I)hp Total .......................Sq. A <br />Remarks............................ ............. ... <br />OrderReceived................................................................................................... / <br />WorkCompleted........................................................... _....... ._....................... <br />.. <br />Foremen <br />