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� 04973 - . ,;; ,�� <br /> w. o. rav� a �- <br /> CITY CF EVEt2ETT.Vtlater Dept. <br /> Appliwtion No,/.%J,J ' r ` <br /> ? Date.......A......../...........................19...1 .-� <br /> � 7nstall.. ............ ............. .inch water servtce plpe <br /> fior .....��rC,�..'....... �... <br /> , f, , . <br /> . .. .tc. f rdc-r..�.._.. <br /> � ................................. ... .. <br /> �•� �..�.� � .. . .. <br /> On ....... ..... ....� . ............1....,.t.�`i.i.c�..`................................. Street <br /> Lot.............................................................. Block No..................................... <br /> Ad4ition <br /> ............. ............................__............... ........._.............................. <br /> Remarks .......... <br /> ._............. <br /> .... . .'......... <br /> �;.�............ <br /> ,.. ..... <br /> ........................ <br /> .............................................. _.: .��..r.!..i � , <br /> � ,C<t.. .S.....:................................. . <br /> ............................................................................................ .. <br /> � ..��..... ....... <br /> /� c�s�............................................................ . <br /> ................................. <br /> //_..1........��>> <br /> ..................................... <br /> ......................... <br /> Superintendent <br /> _ - �_m <br /> LABOR AND MATERIAL USED <br /> --------.�— Size <br /> '���""��'"�o"' I Lrad Conncetion Complete � <br /> .........._..�---�— <br /> .__....._.......................................... Snddle Complrte <br /> ..._..................f l...... <br /> ...................... <br /> ... ......_...__...._............._._..........._.......Pipe <br /> ........................... . ............. Srrvicc Cock <br /> ........................... . Service Box <br /> .......................... <br /> .......... ................................. <br /> _ � ......................................... <br /> CNo. Hom�s Lsbor..............................................Coet.................................. <br /> ut in...........__..._Pavement...................X........................ ................ <br /> ........................Sq.Ft. <br /> ....................X........................ <br /> ........................ �� <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ .� <br /> ......_.......... <br /> Total ._._Sq.Fl. <br /> �� ................. <br /> Remarks........_......................................_ � -- <br /> _.................._....._........... <br /> _.._ <br /> ......................... ....................................... <br /> ........................................ <br /> ............................................. . <br /> Order Received.. ......................... <br /> .................................... <br /> lVork, Cnmplcted . ...... . .. .. _ <br /> _ 1 <br /> ___ <br /> _ <br /> _ _ <br /> Foreman <br />