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S 1; ,-b 9 3 O 5- _ 3b <br />cn Y CF E`,'ERET eater Dept. <br />APPlicatiou No...--- Date --- <br />l�y Ipstall.___ ��---inch water service pipe <br />For._:.!!�!�O �GG_:Z!%--------- <br />y ?---•----------Street <br />`---------- <br />Lot----•---•---•-----------•-•- Block No -- - -------------------- <br />Addition.— . _ <br />Remarks __ e----:.---- - <br />-----•---------------------yn��{- C ---------- - t—,-`_--- -- --�-- --•-/--=-•'!' -._. -`___ _ Sop teadeN <br />LABOR AND MATERIAL <br />_.._.. <br />Lead Connection Complete <br />Saddle Complete <br />. ___•... <br />............... <br />.._._._ ----------------- <br />Pipe <br />-.-_...••- <br />_-------- <br />_-_• _ --..._ <br />Service oe <br />Service Box <br />/ <br />----------------- <br />t .. <br />�I <br />----- <br />No. Hours Labor ------------------- <br />_Cost.__3'f �---- Sq. Ft <br />Cur in ............ Pavement ------------ X-------------- <br />I, ............ X-------------- _______________ <br />X____________________________ <br />Total <br />------------- <br />Remarks--------- ------------------------- <br />-----------•-----------•------ <br />---- ---------- <br />Order Received ----------------------------------------- <br />Work Completed_______________ ________________________Foremen <br />