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w. 6. r0�� S /��'�// � <br />� _i; <br />CITY C)F EVF.R€TT..,V�/ater Lcpt. <br />Application Na..C.�..:' <.',' .... I)ate.........:�..::..::.... <br />_ .....................19...c':�� <br />� Install..... _ ................. .....incl� water se�vtce plpe <br />Foc............................__.......... <br />�/ . ............._........ ... .. . <br />Or < ./� ti + " ................. <br />.......... <br />� _... i ..... ...........�r..'..6. P:�:]:.. <br />.......................... Street <br />I.GI . ............................................. .............. <br />Block No ..................................... <br />Addi:ion ...................................... <br />........ .. .. _........._ _ ..................................... <br />Remsrks ............................. <br />.......... ............................................. ................. <br />.....................__......................._.... - <br />� <br />............................................... <br />� <br />......... <br />................................. ... <br />. ..........._....._.. <br />�� Saperintendent <br />LABOR ANDCMATERIAL LBED <br />No. Sizc I —�--..�. <br />----- -- - . �'�— <br />..' .................. .............-.... ' eac Connection Complete �-- <br />� <br />..................................................... Sndule Complcte <br />..... .................1t............................ <br />................. .. .............................. ......... .....PiPe <br />.... <br />........................_......._.................. Service Cock <br />....._...._ ........................................ Servicc Hox <br />.................................... <br />_. ..........._ ....................... <br />No. Hour.a Labor ...................................... <br />Cut ?n ..................Pavement_..................X....Coat.................................................. <br />........................Sq. Fi. <br />....................X........................ ., <br />....... _ ............... <br />. .... .............Y.... <br />..................... ........................ .� <br />...._ .............X........................ �� <br />���� _ _ Total �� ............. ....Bq. F't. <br />............._. <br />ema rks ................................... <br />—�— <br />---_._ <br />..................................................... . _.........._ <br />......................................._............._ _ __.... <br />.............................................. .................................... <br />....... <br />rder Recei�•ed ...................._.........................._.......................... I <br />_........ ... <br />'ork Completed. _ ......... ...._ _...... _ .__ . <br />__ _.__ <br />. . . . F •rc: �an <br />