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1,56 sty <br />CITY OF WERET F--Water Dept. <br />Application Date ................ :......... X......... ........ <br />i9.: <br />Install... .. . ....... nch water service pipe <br />For ...._'Lk.a... :...........L:.a�l.:..c.. <br />On.....J..`. ............. rf-1.di..................................... _....... Street <br />Lot................... _.......... _............ ................ Block No ............................... <br />Addition.............................................................................. <br />Remarks........ .................. .........._....:._........ _ <br />...............................................w:% a:a a.,s �/ a L�.: !._.................._. _... <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. Hours Labor . ...................... .............. _.._.Cost............................................ <br />CutIn....... _........... Pavement ........ ........... ..___..__....... ........... _... ....... sq. Ft. <br />....................R..._..___.._._... .. <br />................... X.......... ............. .. <br />.................... X..............._.. ..... ........................ <br />Total .................. .....Sq. Ft. <br />Remarks.................................................................._.................................. <br />.. . <br />................... ..... ............ -............................. .............. .... ..... ................................. <br />............................................................................................................................ <br />OrderP.eceived-_.................... ........ .......... ...... ....... _.............. -............... <br />WorkCompleted ............. .......... _.... _...._ .....-.._..... .......................... <br />.. <br />Foreman <br />