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W. J. lei.a � 1'� 7 <br />CITE c EV7RET7'--Water Dept. <br />Application No../;::.:__�_. Date.__.._--- 19•.ar <br />1 Install. - - - - . (.... Inds water service pipe <br />Pot•:_ ...........:... .... .•-------- --�-•-----------• <br />On.._..•�_4`:__..�e•_........ .-=-:---------- ',L:.Street-- <br />L.ot._•_.•..___..•_ <br />............................ [dock No... <br />Addition ................ <br />Remarks <br />33 ... .......................... ..•..:�,,...._...._........ <br />�_ S.pMatrndml <br />LABOR AND MATERIAL BED <br />----- <br />•...� R;ems•-- try;L aa4 <br />i <br />Lead Connection Complete TriAJ'✓.S F/'/rip / ;(t0/Li <br />Ssdd Complete <br />L -# / Tt, & S" <br />...::.%.. �,:. I.......•...•.......•_Pipe <br />Service Cock 7 <br />Service Box tJ -•1 2 <br />- .ft pp <br />No. Hours Labor..................e?/(. <br />----...-•---...----- <br />Cut In ............ Pavement ...... .... _.X.............. Sq. Ft. <br />...._.X........... <br />... .............. <br />__ ?............. ............... .• <br />Tutal ............... Sq. Ft. <br />Remarks .................. <br />......... <br />......--•-----._.•---------------- ---------- ... --_.....--- <br />Order Received ............. <br />Work Completed ............. <br />Ibrom.n <br />