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� 4 <br />%o s u st.`d -e •.t-"§I <br />20, <br />Si PI <br />a <br />" t , 2" <br />1 <br />OF a ,rPQ QTT Water Dept. <br />/ � LJ <br />Application No...�2-4.�_J Date._L:.----•rj----i--_.19.._. <br />Install. ---ingh%water service pipe <br />l" <br />For .... <br />On . T lvk;: !`i''.-_-_.Street <br />Block No. <br />Addition / •0 ._ �!..�_.. r�r- - <br />P Remarks . :_t: ! eaC r. --•--------- <br />-------------- ._.---- -- -------- <br />-------- <br />---------------------------- <br />LABOR AND MATERIAL USED <br />Lead Connection Complete} t <br />---------- Saddle Complete <br />It ._ .................... f ------ Pipe <br />__- <br />Service Cock <br />. ... ............ ..... Service Box <br />_ _ fc............ .... .... <br />_._.__ ...... ________________________ _C� o-�„ <br />r�,, <br />---------- <br />........................- . •---� <br />.�.� .. <br />No. Houn Lnbor.._---- c ,e rCoet - re , , t <br />Cut in ----- _.____.Pavcmcn __...._._ __ ,_ ._._ <br />._-_--._.._.X ---______________ <br />Total Sq. Ft. <br />Remarks--------------- --------------- ----------------- <br />Order Received------------------------------- <br />Work Completed ------------•-----•-----------------Hammon <br />