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- -� - - --- --- _- _ .. <br />. - �� ���¢;aG �' <br />w. o. ronw a <br />� � CITY OF E�VF�.R:E�"I'--Water Dept.�� �' <br />Application No.�%.:1.%(:.._.... Datc ...............%...1._:....x..............19...... <br />lnstall ...............................inch water service pipe <br />F'or .......................................... <br />.......................................................................... <br />On ...............'1 S..l1:........ /-�r..<<.:.: �.::�_�:..._:�jJr.z:......................... Street. <br />Lot.............................................................� Block No..................................... <br />Adciition......................................................................................................... <br />Remarks.............._............................................................................. <br />............. <br />� <br />..................i':. �� <br />.. ...... �_c ......................................................................................... <br />.......... ........................................................................................................... ........ <br />� . ..._.____"""' <br />i_,J �� <br />.........-.... ........' ........... ............................................ <br />—�� — %Z <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Completc <br />Servicc Cock <br />Servicr Box <br />No. Hours Lsbar ..............................................Cost.................................................... <br />Cutin ....................Faver.icnt....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />Totc] ........................Sq. Ft. <br />--"'------'— � — <br />Rema rks ...................................................................... ...................... ............. <br />_ .................._..................._.......................................................... - <br />.............................................................................................................................. <br />OrderReceived ............................................................................................... l <br />1VorkCompleted......._ ..........................................__.........._......................_. � <br />Foreman <br />