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9 S,¢ �. � <br />L J. M�(K OM <br />W. D. IOA1 ] <br />, OF EVE,RE7��-Water Dept. <br />c-, � � L�_ i . ^ / '� ) . <br />ApplitationNo ......................... Date.�:.....---.:::......�:?..._.19...... <br />Install.......�� .:...:..........inch water service pipe <br />For <br />On <br />Block <br />Addition <br />Street <br />LABOA AND MAT6AIAL OSBD <br />Lead Connection Complete <br />.................._._... SaddleComplete <br />Service Cock <br />Service Box <br />No. Houra Labor ..............................................�oec.........._.._................................... <br />Cutin ...................PavemenL....................X......._......_....... ......._...............Sq.Ft. <br />...................X........'-"-'--._... �� <br />....... _ ............... <br />....................X..............._....... �� <br />........................ <br />....................X........................ ........................ " <br />OrderPeceived ....................................................y..::...................................... <br />\Vork Campleted...::i :.:::...:.......:..._:�:.�........._._.--.......... -......................... <br />Foreman / <br />