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w. o. ro�r a <br />/7/�'�. . rrr-����- �' <br />CITY QF EV ERE IT--Wuter Dept. <br />— �_ ,/ <br />Application No... �. �. �. `l. X.... Date.......'._..!.. .::.'�.Y ..................19...... <br />InsL•dl........_ .....................inrh water service pipe <br />For _ ............... ......................_........................................... <br />� ........... <br />On ........•'' % ,::..._/�^):-[�c r.J..........._......_ .......................... Street <br />I.ot ......................................................... Block No..................................... <br />Ad�3ition ....................................................................................................... <br />Remark:: ......................................................................................................... <br />........... .. ........... .............. .... ........................... ............................................ <br />...................................................................................................................... <br />..........................................................................� ........y7............................. <br />_ . .. .... . .........._........................................... /�. � .�-� �. 2.:?:�,�............... <br />,S perinlendent <br />__ <br />�� ' ���-��.c.f�<../� <br />No. ' Size I <br />— — --- ---�---�-- ------ <br />...._ .............................__....._ .. I Lead Connectlon Camplete <br />................................................._..� :;addlc Complcic <br />.......................it.............._ __........ ........................... ................_.. <br />.......................... _.._.................... Scrvicc Cock <br />........................... _.._.................... Service Hox <br />...... . _...._. _..... . ... _ ......................... .................... <br />. .. ................. . ................................................................................................................ <br />.. ... ................... .... <br />No. Hours Lsbor......_ ........................._..........Cost.................................................... <br />Cutin.._......__.....Pavemml ....................X........................ ........................Sq.FI. <br />....................X........................ �� <br />....... _ ............... <br />..__.._........X ......................_ �, <br />........... ............ <br />___............X ........................ �� <br />.. ........................ <br />Total ........................Sq. Ft. <br />'- — -- — <br />Rema rks ............................................................................................................ <br />_ ................................................................ ......................... <br />................. .... ............................................ ..................................................... <br />Order Recei��ed__....... .... ....... ...... _ � <br />\Vork. Completcd _ ._ .. _ ._ _ _ . _ _ _ _ <br />Foreman <br />