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. �G.�,S-� - - � <br />W. D. IOIIM ] � ' � ��l // <br />CITY OF EVFIZETT--Water Dept. <br />�.-; -- '� ' ......................is..�.-/ <br />Applicntion No...1.�..........,/. Date .......................... <br />7nsta1l.......,_ ....................inch water service pipe <br />For........................::......................................................................................... <br />^ � <br />On ...... :.1. t'...�%.^•'5.:. �..f.� ..:....................................................... Street <br />Lot.............................................................. Block No...............---...._R........... <br />Addition.......................................................................................................... <br />Remarks......................................................................................................... <br />...................................................................................... ................................... <br />,% ��....�'a.�> ................................................................................................... <br />......................................................................................................................... <br />:i--/C- �; �3' <br />..................................... ........................................... .................................�-- <br />Superintendent <br />LABOR AND MATERIAL USED � <br />Nu. Slzc <br />....................................__.... I Lead Connection Camplete <br />. ......... <br />....__ ............................._..-.....__.. Saddle Camplele <br />.......................f t. ........................... ........................................................................Plpe <br />........._...........__ .......................... Service Cock <br />_.__._-- .............................i Service IIox <br />............................................................................ <br />............................................................................ <br />.._ ... ................... __.__._. <br />No. Hours Labor ..............................................Coat.................................................... <br />Cutin..._ ...............Pavement....__._........X........................ ........................Sq.FI. <br />....................X........................ �� <br />......._ ............... <br />....................X........................ ........................ .� <br />....................X........................ �� <br />........................ <br />Total ......_........_.._..Sq. Ft. <br />� <br />Remr�rks ........................................................ .... ............................................. <br />_ .._ .... ..... ........................._.... ......._..........._................._... ._........._.. <br />............ ......................................................................................................... <br />OrderReceived.._ ..............._.............._...................................__. ........._.... <br />\bbrk Campleted .............._...... ..............__.....__ .... _................. . � <br />Foreman \ <br />