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a J: vnieU['7M irv . �.' <br />w. o. ronrn a �• `� ' � - ! / <br />CITY � �VE.RETT--�7Uater Dept.' <br />,- - <br />., . .� �, , -. <br />�_ ; ...:::�.. �s.----- <br />Application No.........._:.....--•-.. Date .......::.......:..... .---............ <br />; Tnctall.:......::.._ ................inch water service pipe <br />. / <br />, � <br />- � ., - � <br />Fer .. . , ............�._ ., „• <br />.................... .................................. <br />..:_ ...:.......:................--------�- <br />�_?�. : ;. <br />;���'� !-- . J-� <br />On....---...._ ......................_�..: "............................r....... Street <br />T.,,r — ---�- �--- ----.....--........_... Block No...... �_`.. :�....._--........_ <br />Adciilion .... <br />Remarks .... <br />�° �'O� ............. <br />•�., /8:.:....... �::......... <br />/ �`:::n�:: �:�: <br />, , . , <br />.....!. ...:._.::.._ ...... ... ... . _.., <br />.-....:.....:. <br />�`' -�•-:....:.._:.._.......�./..:�.....,._...._.... <br />rY . <br />� �:�::� ..:�� ::::::::::::::: :::::�::::�:::::: <br />-� i . .� <br />LAAOR AND 11SATERSAi USED <br />....:'..-•---...:'._ i-- <br />-T� �� <br />�No.�� Size I _ <br />.................:..:._. ........................_. Lcad Connection Complete <br />.................. ....... . <br />.._.........._......... Saddle Complete <br />- .ft ............................ ..............._._.:_....._........................................Pipe <br />.................. _ .. <br />.................._1................................ Service.Ceck <br />.._----- ....................!..:.i....:.... Service Dox <br />,. <br />(.t....J.� � <br />No. Hours L�bor ..............................................Lost.................................................... <br />Cutin ....................Pavement....................X......._............... ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />Total .. .................Sq. Ft. <br />—�-----�- �----- <br />Remarks......................_...... _....::.! :..i,........::..........:..................:.............._..... <br />_ _ ..............._.......... <br />OrderPeceived ............................................................................................ <br />\Vork Complcted..,C .:...:.....:..........:........................_: ....,.:.......:...:..........._. <br />Fareman <br />