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S1.Priebe�M]iS�� S� L .._" <br /> W.D.Fn�y • p <br /> CITY OF EVEP.ETT--Water Dept. <br /> i' � p / � ��� <br /> Application No.�Jp......G..... Dat ...._....................�:. ... ..........19..... ' <br /> Install__,..-�:���...........inch water service pipe <br /> _ , <br /> For .__..k�.:t:-^..�::f.:�.-�-��9,i.S'._......:..:.....::...=.-................_.................---.. <br /> On 1 9y� � � i <br /> .._...._c�... .........:.....-C.:ll...'.'.::........�.:�E::.:........_j���..........._.... Strcet <br /> I <br /> Lot............................_----......._................... Block Nd':....................----............ <br /> Addiiiwi ....................................... <br /> � .......... ...�..............................-, <br /> Rema ks (�1: �:, . � „ ;, — i) ...... <br /> '--�� - �- ' ��---..... :................. ...[./..�:�:.'r,,..� <br /> .......... � , ;, ,_..-� - <br /> .... <br /> ... <br /> „ � , „ r� <br /> . <br /> .......� l ✓ _ c/ � <br /> _....... ............... ......----�-----.........._.............--................ .�......------- <br /> .-�......................................................................................................................... <br /> / _...r::._....,......._._................................._�................._...... j <br /> ..;' {� ' � .. ................. ,, /�.,�......._....:.. <br /> ........._......._.._.._................. l .. ...Su'erinten� / .•.�:.i. <br /> i <br /> .3-....... ,�7' _ '-...._.. " <br /> �} 1'� ...p dent <br /> • �• 1 <br /> ;�yi1b HATERIAL GSED <br /> No�/ I - BfLe" �- <br /> � �. `------ — - <br /> ............._....�...:...._',a. �-,,..: `..i'� 7.�ad Conneclion Complete <br /> .......................... �_....//ff� �� E�iddle Complele <br /> ........._............ft....�j...r..:�..�....'� ......_............................._......_...._..................Pipe <br /> ................._.......... .. �, _i Scrvice Cock <br /> .._.........................__.............._...._ Service IIox <br /> No. Hours L�bor..............................................Cost................---................................. <br /> Cutin....__..._......Pr.vcment....................X................_...... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> --.-_._._.._—�------- -------- <br /> Remaris.....�.......:........_.............:..._.:..........._........................................ .. .. <br /> _..._._._....... ._........._.......................................� .....................................--..... <br /> _......._................................................................................_......_...._................. <br /> Order ^ ' � <br /> .:cce ived................................................................... ......................... <br /> �Cork Con;pleted- ............:.............'_..�.:......._............................................. <br /> � � Forem� <br />