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VEREIT--Water Dept. <br />/S9 96' <br />Application No.,-4:5-7- 2;F. r. Date .......... r::r.«.:...... / ..................10...... <br />Instal. .......... -, !........ _ .inch water service pip^ <br />For................... :�c ......... <br />r. D J <br />On .......� .. ....- .....:......................... Street <br />Lot............... ../...f�...... �? ......................... Block No ....... _...__.................. <br />Addition......... !!! .•4................................................................... <br />Remarks... a.Y..... E k<. x............. .............................. <br />art.................. .:%.ct..rc.c............. . _:ate. .................. _.................. <br />_. �1�.....of <br />......................................1- ...0�� _ . <br />.....Superintendent' <br />LABOR AND MATERIAL ITSED <br />Lead Connection Complete <br />Saddle Complete <br />its...- _............................ Pipe <br />Service Cbck <br />Service Box <br />No. Hours Labor ........................ ... ................ Cost. .... ._.._.............................. ....... <br />CutIn .................... Pavement ............... __. X....................... ................ .... 84.rt. <br />Ce.................... X................... ..._.._.. .... . <br />a`.'i.................... X....... ..._.._.._... " <br />.................. .X.................... <br />Total <br />........................Sq. Ft. <br />Order Received ............. .................................. _..... <br />......�..._....._.............. <br />Work Completed .......... <br />x7:-..../....._�c.:..�..........:::...r .�..:?Z,GG.:%,....1 <br />t Foreman <br />