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�/'97/ S - -.. ;� <br /> M, o. ro�w a �Lf �7�S <br /> CITY OF EV FRETT--��ater Dept. <br /> �`A}it�l� tac�or, No..��.�C'_��Date.............. .:.._.:��� ..............19...- <br /> 11sta11.................�..../......... .inch water�ervice pipe <br /> For ...... N'� �.... .:.7Z..2[�[.�L/.— ..... .......... ................. <br /> ..... �............. <br /> ....:..._3.... .... _<............. .. f <br /> On y rZ/ �.:�'-�c-t..:C.z�I��.. Street <br /> Lot......._...............................------------...... Rlock No..........�i......._. <br /> Addition ............... ......................................... <br /> ........................................�•---- <br /> Remar§s .--..................._..-------............................................_--................--• <br /> _.._........................_......................................................................------._---------- <br /> ............................................ ....................................................._..--•.. <br /> -- ............ .................................-- ............................._..............--................ <br /> _............................... ....__.............._......................._.....---.............----............. <br /> Superintendent <br /> LASOR AND MATERIAL USED <br /> No. Stze i <br /> --- -- <br /> ...................................__........._....I Lead Conncction Compiete <br /> ._.................................................. Saddlc Complclr <br /> .......................tt............._............. .......................................................................Pi pe <br /> ..................__................................ Scrvicc Cock <br /> ...................................................... Servicc Box <br /> No. lioucs Labor..............................................Cost.................................................... <br /> Culin....................Pavement....................X........................ ........................59.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> ---------------- <br /> — -- <br /> Rema rks...................................................................... ............................. <br /> ............................................................ ......................... <br /> ......................................................................................................................... <br /> OrderRecciced.._.............................._........._.........._................................... 1 <br /> 1VorkCompleted......_........................................... .. ................._................. � <br /> Foreman <br />