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S J. Priche /M P.;b/ 'of '\/� �/"1 ,. <br />W. U. Form D 291' iii/// , <br />CITY OF MV REYT=-Water Dept. <br />,;/ -. <br />Application No .... ......�............ Date...l ......................1. <br />Install. ....�t.�"�_... �....i 1di water service pipe <br />For.................................................. _ .......... ....... <br />On Street <br />Lot... ................................................. _....... Block No ........ .......................... <br />Addition.............n........................... ......- --- - .............. . <br />Remarks .......... XL.✓ .............__.--------- _ --- / <br />LADUK AIND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete /7 <br />No. Hours Labor.............................................. cost ..._......_......... _.......................... <br />Cutin....................Pavement.................... X ........................ ........................Sq. Ft. <br />Forl"CUP PCB. ................... x................ ....... ..._.._............... o <br />S P� f%/�/ /, 11� e066 ...................x........................ <br />.......... .......... x........ ............... . <br />Total ........................Sq. Ft. <br />Orde: Received .......... ............................... ......... ... <br />......._.._......_ <br />York Completed.........:...'...1....._:..................... :-.................... <br />