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/��-,��'� � �. . � � <br />w. n. roal�a <br />' CITY OF E�CRFTT--Water Dept. <br />, ,_ ; ; <br />P.pplication No..�...:.'...::i...::: . �. Date._.._.._ �........ � ......................19..:..: <br />� / 7nstalL,...._ .......................inch water service pipe <br />�, <br />,• <br />/ , <br />F�i ........:._ . � .?.:r....:.....t:..:.a.:.�.::c.a..�:.:�.�.........._.......... . <br />.... „ . <br />� l _4 � � ' � � / / �/ l....� ...� ... . ..... <br />��Il .......�...._.�._L...:....t" ............. � ( . � ., .:...:......::.:. ;. . S�TC'Ct <br />.._ ..... <br />Lot..................... . ..................................... Block No..................................... <br />A�i�lition ......................................................................................................... <br />Remarks......................................_:............................ <br />� �. . . . . .............. <br />..:.. .... . ..... . <br />� � 7 - <br />.....................................................L.:_..:::d:�.: i.iS..N_c:S.:.i..�.�i:.:.................. <br />... ._ ..................... __................_..............._.._.. .........'__"'"""________._ ___.._ <br />:iuoenn:endent <br />i.ABOR AND MATERIAL USED � <br />No. j Size I <br />........_ ........................_..._...' Lmd ConnecEon Complete <br />............... _........................... Sadd'. � Complctc <br />........... .i:.�._ ....................... ........_.. ..Pipe <br />. ... ........___...._..........._ ................... <br />........................................... Service Cock <br />....................._....................I Ser✓ice Box <br />.... _ .... _ ............... ........................... ... _................... _............. <br />No. Homs L�bot__ ............._..........................S.ost............._....__......._.................... <br />l'ut in..._._..._._....F:vem„�l_ .................X...................... ........................Sq.Ft. <br />....................X........._............. �� <br />........................ <br />....................X........................ �, <br />........ ............. <br />.__ ...............X...................__. ,� <br />........................ <br />Total .._ ....................Sq. Ft. <br />----� �----_ _-- - � -- --------._ _ <br />Pc�narks....._......_............_ .......................__...................._....-----�------------- - <br />. . ........................ .................. .. �--............................................................ ......... <br />Order�eceieed.._ ..................__...........__....__............_........._................... , <br />R+orY. Complcted .....___ __.._......_.._... ..__ _ __..._.. ....__ .................. <br />Foreman <br />