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S J Priebe���i)':'�G��/ (' <br />W, U. Form 1 <br />CI� ► Y OF E`JERET�i`'--Water Dept. <br />` ` - � �_ ,.� <br />Application No.l''.—.`..:.i.'.rn.' Date....:r%_:.:r.:'-.- :.........::......._....19::..�. <br />Install .................::_:'.........inch water seruice pipe <br />For.. ............... ...__.............................................�.................................. <br />��/ � "�g,,i- '....=�..%:...2i::'' ...................... Street <br />On _ .......... ...................... ... ............... <br />T.nt r/'ti'�-------------------`_'-,--�---'-------......_ BLOC�t_.NO.----"-•--'--....................... <br />Addition :z;v ='r� '� .��-, . ,� , ;, <br />Remarks <br />....................................................................................... ............ <br />................................ _... ............._......._..� ..,::.�...... ..i..........................----..... <br />. <br />�. ,�� -�� ,� <br />. �- � �' � �y ��. �_ <br />_....._- ........................................... '-- -..a.....�... . .-. . ...........:................... . <br />'' Superintendent <br />;� �� <br />LABOR AND MATRRIAL USED <br />-- No. _I Size ' -- --- <br />� . v�� I a;� � <br />............ ......... ........ <br />3 •� <br />....... �.� ................I . %1.. <br />Lcad Connecti�n Complete <br />SadSi}e Co�nplete <br />.1.7.�1..� .......Bipe <br />......................................................... ..... . <br />Serv�ice Cock <br />-> c ..,, . <br />�crvice`�ox , . <br />, <br />a.�.c i«_— �L'!'. ( �-.� i� .�_:z _ I,L,v o�w <br />J Q ........:................................... <br />............. <br />...:... .�(=::::.�Pi�.:.._...��r.Y..F..._:��. ��. <br />, <br />.. .......................................... <br />„ 7�, /��:}�ev `r �� ' x i� n•' f�. �. <br />........_....._........_ - ..................._................... . <br />.. :............................. <br />--�.-.::� �:... ��? ::.:........................_.............._................................... <br />No. Hours Luhor ............. ......................... e...Cost.....P_�: /._................................... <br />Cutin ....................Pavemenc...:...............X........................ ........................Sq.Ft. <br />....X ........................ <br />� � � �.p ..._............X ....................... ....__................ <br />D _....... ........_ .............. .. <br />i � . ,. <br />.��:t � �h �:. ....................x........................ ........................ <br />Tutal ........................Sq. Ft. <br />Urdcr Received ................_.................. <br />�Cork Completed..... <br />