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/7'/38 � � �- �—.�—� 3 � `� <br />w. o. .o,� , . <br />� ' eITY OF EVEKE7T--Water Dept. <br />� ; - i -�l� � <br />Application No.. �.! �..�'�..[r.... Date.........s .....................................19...... <br />�n;:tall ...............................inch water service pipe <br />For......................................... ............ . . . . . <br />On .......... �..:3_✓.�C...........:�:-.1� ...�.,��::!' .5_— Street <br />.......... ...... ... <br />( . . ... .............................. <br />Lot.............................................................. Block No.................................... <br />Ad�3ition .......................................................................................................... <br />Remarks ..................................... .............................. <br />...................................... <br />._ , . <br />�/ ' <br />J�.........r........�... <br />� ... � <br />.............""'_'___...... <br />Superintem e <br />l/— 3J - '7 z- ��'c���1_ — <br />— F— <br />LABG:L AND MATERIAL UBED <br />................__ . <br />....................... <br />Lcad Connection Complete <br />Sadcllc Complcle <br />................................................. ...................... P i P e <br />Srrvice Cock <br />Service Boz <br />No. Hours Labor ..............................................Lust.................................................... <br />Cutin ....................Pavement....................X........................ .......................Sq.Ft. <br />....................X....................... �� <br />........................ <br />....................X....................... �� <br />........................ <br />....................n........................ ........................ <br />Tot31 ........................Sq. Ft. <br />-- `-- <br />Remarks ................................................................................ ............................ <br />OrderReceived ............................................................................................... <br />\Vork Completed ....................................................................................._.. � <br />Foreman <br />