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V I", '? z <br />V. M F�111- 336 <br />cil� Y�I ERETT-Water Dept. <br />' , <br />Application No..... ...... !)at - .............................. <br />...... inch water service pipe <br />....................................... <br />For ........... . ... ....... I ...... ........ ---------- - -­ I I I I I I .... Street <br />On..................................... .................... ............ .......... <br />---- Block NoNo ....... ........... . . .................... <br />---- <br />Addition... . ...................... ........ <br />Remarks ............. . .... . ........ . .... <br />............. ................. : ........... ........... ............. <br />Sr nedntcodcnt <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />1". n . . . . . . ............ — ------ - <br />Cutin ........................ Pavement ....... . . ....... X ............ ............. ...................... —Sq. " Ft. <br />.................... x .......................... ........................ <br />.................... x ............. ............ ..................... <br />.................... x ............. ............ <br />qTotal ..................... —Sq. rt. <br />