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e. a. nni[nc a�y/�~� � <br />w_ o. Iori.: o y <br />ITY O E �RETT <br />Application No..�l:5/ 3_�. <br />Jr� Ins��all..._. <br />For ..........._ ✓..:l�:tics.�:[:?.nS- <br />on ..................1.. i../...:?......-..1. <br />Addition ..................... <br />Remarks ......._..�..2 <br />......................�:L:: � ......: <br />...................,.::.:,:...:: •---'� <br />....... .. .........:�..:....: ....:...�. <br />.� <br />�^ <br />t ; � <br />�� �l <br />--Water Dept. <br />.....................��:/:� . _...�s�.'? �-i <br />._..inch water service pipe <br />. � � <br />... Block <br />LABOR A1FD MATERIAL USGD <br />No. Size I <br />................._.... ..... ............... Lcad Connectio�a Complete <br />............ .......................................... Snddlc Complete <br />..........��. �...St.. . <br />.... ............. ........ ... ......................._.........................., <br />................._:................._.1: �:...... Service Cock <br />....................�......................,......... Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />C:M in ....................Pavement....................X......._............... ........................Sq. Ft. <br />....................X........................ �� <br />......._ ............... <br />....................X................... �� <br />..... ........................ <br />....................X........................ �� <br />........................ <br />Total .................. Sq. Ft. <br />-------- — <br />Remarlcs....:................................................................................... .............. <br />- -- - ...-�--�- - - ` <br />OrderFeceivc3._ ............................................................_................ <br />�Vor�: Campleted......:.;'..,.:� ::....:............._............:.'.......r�...::.:.....::. <br />�-- <br />