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38` <br />• W, D. Firm l ] B 3 <br />• S. J.:rieba <br />CIT EVERE T T--VUater -Dept. <br />Application No---- Date -_.- ----------i9.._.. <br />IntolL _ - . _ 1 _ _ inch v. ater service pipe <br />--- ------ .............. <br />On ................. r ` '— —------- — ------Street <br />Lot------------------------- -._ Block No._ _ _ _ _ -------- <br />Addition ............... * --- ._.. ----- <br />Remarks ............ --. _ - ----••-- <br />•'�.. ............... <br />----------------- <br />_--------- ----- 'V _ y ( ----- <br />Svoeri tanAent .IZ.Lc Z— T r.a, <br />LABOR AND MATERIAL USED <br />.......... k. ___-Y1......... <br />............... <br />Lead Connection Complete <br />Saddle� Complete <br />.,,iacv ----_. <br />____..Pipe <br />Service ck <br />s <br />_____________________________________ <br />------ ____________________ <br />No. Hours Labor_. �.Co>if/-4_!wx ------------------------- ___ <br />Cut in - ------------ Pavement ............ X.... 1------ ----- .--------- Sq- Ft' <br />PPNN __X _ <br />�l l X,------ • ----- - <br />% Total --------- ---- Sq. Ft. <br />Remarks...... ---------------------- <br />----- -•-•---••-- ------ — ----------------••----------------- <br />------------•------------------- <br />Order Received <br />Work Completed_-_ •-----------------•---- -- <br />___. ______._ Foremen <br />