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s. ,: nni[ec "�'s� � � 9 �> '� � L <br />W. D. IURM 'J <br />CIT'�'' ��F EVERE i I`-=Water Dept. <br />// '1 � % � ' <br />ApplicationNo ........................ D te.........-��-----•-....�.../_�,�.....i9�i� <br />tn�catt___.3.��_.._.......inch water service pip� <br />b or ,!. r. r�,.r ,�:.� :.u:.._.,..r...,..Y.:..,.- --- �- ---- U <br />.......... .x....... . . <br />�' '- �� ._ ................---�----....... Street <br />- <br />. — <br />Cn .� / ....._..ti'� ....:..................... <br />............ .......... . <br />Lot............................................ .......... ...... Block No.......................----......._.. <br />Addition � � . • - -' , /� ) <br />............................................ .... ..........� ---........ ..... . <br />............ ......... <br />r �'Z Lt:.:4::-�.........,G::3...:(`%S.c`.��.-s:� .:......::...1...dc�t�, <br />-.emarks ........ ... <br />No. <br />") <br />LAS6R A D MATERIA: D3ED <br />!_ I _ <br />.`I L ad Connection Complete <br />.._„I Saddle Complete <br />_.---- ...... .......................P ipe <br />......__............- I <br />Service Cock <br />...........................I.... ..................... <br />... ...................... <br />Seraice Box <br />...................._. .... . _.................. .. .... ................. <br />No. Hours La or .............................................. <br />. ............. <br />...........................S Ft. <br />, ........................ 9. <br />Cut m ....................Pavcaicn;....................X......._............... ,� <br />.................. X........................ ......._............... <br />....................X........................ ........................ <br />�� <br />. ..................X........................ <br />........................ .. <br />Total ......................_:;q. Ft. <br />_' .....:.......:..:............... ...................... <br />OrderPeceived.._ ......................_... .........................................._ ............... <br />• .j� - i;�,' , ... <br />\�or}_ Compided�..".� .........................................._.................-�Foreman <br />