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. �s��� . �.;,_- _ :_. <br />w. o. ronw . <br />- CITY OF VE�E�'I'-.Water Dept. <br />Application No%:' %/.�. Date ...................� . / l % <br />. ...................._.19...._' . . <br />/ � 1nst�11.........._.. ................ .inch water service pipe <br />For - , .�i. . ,i <br />.._..i ,- s::7.� :......:.�:_.:......,..C�.:.�.`.�.t.s.:�a � ::........................................ <br />�-'� _, .. .� . : <br />On ..........:1:..'../...:::...�. �,.:.i. �,:::-::�:..<::..r_:....::_�.1:.:' <br />............ Street <br />Lot............................................................. Block No I.............. <br />.................... <br />.`ldclitiun <br />.......................................................................................................... <br />Remarks.....................................�./>........................... <br />........._..._ ....................../(..:/.l:L;::'.w�.:r. �t.7.i:............................. <br />`.. . <br />..............._......................'_'_.____. <br />;..,...u......._..... __.. <br />/+_ _ <br />� �� ; <br />............................ <br />---rvo. Sizc <br />........................... ...................... <br />...... _ ...............f t. ............ ....... �. <br />LABOR AND MATEftIAL �IISED <br />Lcad Cnnnection Completc <br />Sndd)e Complete <br />Scrvice Cock <br />Ser�icc Hox <br />� <br />Superintendent <br />..__....... ..... <br />No. Hours Lnbor ...........................__...............Cost........................................ <br />........... <br />utin...........__....Pavcment ....................X._..................... ............_........_Sq.Ft. <br />.................._X........................ �� <br />......._ ....... ...... <br />...................X....................... .� <br />...... .... ........... <br />....................X_...................... �� <br />........................ <br />Total . ...Sq. Ft. <br />_—.- --------- ............ <br />---------- <br />Re m a r ks.......... _..... _ .................................. _................... _ <br />.............. <br />Order Receieed� ........................ <br />P1ork Complcted .................._... <br />............ ............................ ........... <br />_......._ ........................... ..._ _ ___ _ <br />Foreman <br />