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/733� i� - y o 9.3 � <br />w. o, roww a <br />� " CITY OF EVEFcETf--Water Dept. <br />Application No..�%3_.�.G.... Date ..................................:�:.�.:.18%..'� <br />Install .............................. .Inch wa;er service pipe <br />For........................... <br />. <br />� .. .......... <br />.............. .. <br />........................... ... <br />On' , ...� ......... ... r.�' � Street <br />.....:.��� ........... .............�.....�*.:F , <br />............................... <br />Lot.............................................................. Block No..................................... <br />Addition..... .......... ........................................ <br />�,(� .................................... <br />Remarks ........'.� �! .:...................................... <br />.... . ............................................ <br />...................................... ... <br />LABOR AND MATERIAL IIBED <br />.........� Lend Cnnnecllon Complete <br />.........� Saddle Complele <br />........ .................................................... <br />........ Service Coek <br />........ Servicc Sox <br />No. Houre Labor ..............................................Coet.................................................... <br />CulIn ....................Pevement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />� <br />. Totel ........................5q. F� <br />Remarks................................................ ....... - <br />............................................... _ <br />OrderRecelced ............................................................................................... <br />\Vork Completed ..................................................._....... _........./ <br />Foremnn <br />