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6 <br />C.0 fcNYC <br />Water Dept.., , <br />nLt2-4 <br />Date- __ ._�.............. <br />A — .19...... <br />pplication No....... <br />,tall....., _ . inch ater service pipe <br />v. <br />............................ ..__.-. <br />For ............... <br />// Street <br />- ........ Block No ........ ................. .._...... <br />Addi' n............................................. <br />Reks ........................... -..`.........:z;`...._._� <br />r- Y:..:........_.._......................... -. <br />��...:-:::................_ .. i <br />Ili <br />1._...... ............. <br />-, �l}r••-•-.-.•..................................... <br />� / � SuPer:atenden, <br />LABOR AND D MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />e: L ............... Pipe <br />p e <br />. <br />............. _ <br />Servl a Cock <br />Service Box <br />No. Hours l.aoor.......................... <br />Cut in....................Pavement...... <br />co , �ttw.e/ ....... <br />L....................... <br />.......................Sq. Ft. <br />L....................... <br />..._.........._....... <br />u <br />Total <br />........... I ............ Sq. Ft. <br />.,i �� .. y :;.................................. <br />Remarks......w.._._s1.....n,ix.i1..: ................. .................. <br />1: ......... <br />.............................. <br />Order Received......................................................... <br />` � <br />WorkCompleted.3.'.l._Z..:�.L._............ .�..h�..:- <br />Foreman <br />