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S.J Priebe�M 7.4619� .' . ��,.. <br /> W.D.Ferm], f <br /> ' Y��TEVERLTT �latzr Dept. <br /> App.icution No..D-. Inst�....�-�:_ �...........it.ch �ter.............19.�,(� <br /> f_^ t) �--- �,. <br /> 1� service pipe <br /> For ..............L�C.�.:.....:._�—zr.:.�.::::t�,.r...--:-:...........................------....... <br /> On ...............vS_..?..n_c�....---.:��..�'.=..:............_....................... Street <br /> Lot................ ........................................... Block No...................................-- <br /> Addition ....................::.......................................................... <br /> .................... <br /> ...... <br /> .- ., <br /> Remarks .....:......:_�:r.�:`.!_':..!'_:'-.::.......�..-..'_...., i ,_ n-,, �_�� <br /> ; f :....__..:.......... <br /> � j ...,__ <br /> , � <br /> „ . ; , <br /> ........._..........__�...:...::.:_:...::........._-:....::............::...e..�:....................---=--.......... <br /> ........................... ........................... ................................................................. <br /> .... l <br /> ........... .......... .......1...................................................... . • <br /> . i ... ........:.... .� .. . <br /> , ... .. .....' <br /> . ^ I <br /> r � <br /> / <br /> /` ' . i ' . / { � � ,Il/ <br /> .... ..I ,....?u.[:�:lv � / . 1 <br /> ......... . .................:....�f...................._�.:... ...........L.:.:: ' ,_ . <br /> % Superintendent <br /> � _l .l i � <br /> i.i - <br /> LABOR AND MATERIAL IISED <br /> ..:,-.. ,Z—/�'�'?' <br /> ---------- — � <br /> o. . S �--`�1 Connection Complete <br /> `� n / 'Saddlc Complete <br /> . .. .�� ._ ; , . <br /> ....................... .....:....i............... ........................................................................Pipe <br /> .....:.................__�........_................ Service Cock <br /> .............::..:...._:::::......................... Scrvice Box <br /> ............................:................._......I ...................__......................................_............................_................... <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in....................Pavernent....................7C....... ............... ........................Sq.Ft. <br /> ....................X ........... �� <br /> ........................ <br /> ....................' ............. ........................ ,� <br /> ....................�........................ �� <br /> ........................ <br /> Tot:�l ........................�q.Ft. <br /> - - — ---- ----- <br /> Remarks.....�.�..._,�-7/'' � ' _. — <br /> ........._``,..............iZ��- <br /> .... ..................................................................... <br /> .�...�.................. ..............................................._..... <br /> � , , � �,�, <br /> , � ... • . <br /> ........_..........�;-:............:.........:.�....:...._...................._.................................... <br /> Order i�eceived.......................................................... ........�...._�:......:............. <br /> , . <br /> ��'o:t: Complet.ed.......� ..................._._::.:::......_::..:....__........_:.L_......... <br /> Forema <br />