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. <br />_ ��� � - % <' i J `; _ <br />w. o. ronH <br />'— CITY OF ERE3 I'--V�Iacer Dept. <br />Application No.l....%'.. -�1..`,! Date ................c�....._1....................1�..�: •!� <br />, j) Inst/ail . ............_...............inch water servicr. pipe <br />For......:_:.t.- .::::........�.2.:.:t.�:::.�..1.:..r.r..-r..;.................................................... <br />� i ., � <br />� ,, , ., �, <br />On .....__ ................1........_,....:..._....�:..�-.:.._r..,..:...........C:.:..:: f:.... Street <br />Lot.............................................................. Block No.............�.................-�-�-- <br />:! ddition ........................... ..................................................................... <br />Remarks......................................................................./�......................_......... <br />..........................................................�. /.�..7.L..! :: Cct.<.�...G <:l.:.:.�.......................... <br />.............................................................................................................................. <br />Superinlendent <br />LAHOR A'JD MATERIAL U9ED <br />No. � Size I <br />---- r— <br />......................................................I Lead Connectlon Completc <br />� ............................................._.......' ^nddle Cotnplele <br />I .......................ft............................ .............................. <br />. .................... <br />................__..................._.._...... ��rviceCock <br />........................................__......... Scr.ice Box <br />aNo. Aow-s Labor...._ ................._.._.................Cost.................................................... <br />Cul in.._..._....._....Pavcmcnt ...................X................_...... <br />....................._Sq. Ft. <br />_........_...X_ ..................... �� <br />.... ........................ <br />...................X..............!......... ........................ �� <br />....................X.... ................... �, <br />........................ <br />Tot �I ........................Sq. Ft. <br />----�_-- _..._�_'_—_' — <br />_ -__ <br />Re m a r ks ................................................................................................. . <br />� <br />................................................................................................................... <br />QrderRecciced._ .................................................................._...._.......__.... <br />\Vork Completed ......................_.................._.__..._......._................ <br />Fareman <br />