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CITY OF E-Water--Water Dept. <br />Application No/ <br />!:I,tall ..inch water service pipe <br />.......................................... <br />On........�.�s..[?.G.>..�.........�r_�..........._................................_. Street <br />Lot.................................................... ..... .. Block No ........ ................... _....... <br />Addition......................................................................... <br />Remarks 4.......e.�................ <br />... <br />.................. �,�-................_.......................................................... _... <br />... ................. ............................._........................ _...................... ...._._................ <br />.................................... ...... ... <br />_._.. <br />......................... . <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />............................._.._ ... .............................. .Pipe <br />Service Cock <br />Service Box <br />No, Sours 1.❑bor--..................... .... <br />...............cae4......_.._.............._ <br />......... ----- <br />FA. Ft. <br />cut In.. _... Pavement ...... ._........X.................... <br />.................... <br />.................. <br />X.................... ... <br />..._.._.._._._... <br />...... <br />........................ �� <br />Total <br />.....................sq. Ft. <br />Remarks........ ............................................. <br />..... <br />_................._........... <br />...... ._................ ...._...... <br />. ............... <br />.................... ..................... .............. <br />................... - ................... <br />I.......................... <br />Order Receive ........ ..........................__... <br />.................................... <br />........... <br />Work Complete ......... <br />__............._ . <br />Forc •tn <br />