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­ PRIM <br />C-,FCY CG�� E RETT--Water Dent. <br />Application No... /. ...1. Date .................................... .......... <br />-.Install--.__ al........�.--inch water service pipe <br />J <br />For .......... <br />.......................:............... .:_....-----.............:....-_......._......_........_.._ <br />On... _...... ..... _ ..............-'.... �(,,....�1....._.._._..._... Street <br />�r <br />Addition....................................... _.......... ..................................................... <br />Remarks <br />i <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ............................... _._.—Cost.............................................. <br />Cutin .................... Pavement ............... _... X....... _........... ................... Sq. Ft. <br />v u <br />................... X,............ <br />._._... <br />Order Received .......................................................... <br />J <br />Work Completed.........::.:.,:.........::.'...: _................ <br />u <br />................ ....... Sq. Ft. <br />Foreman <br />i <br />