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/�G��� l �, <br /> w. n. ro�r ! �� " .) ( � `� <br /> CITY OF EVE�E: T--Water Dept. <br /> Application No...1-.�.f�_C'... Date.................:�....:�..................18._� ,./ <br /> Itistall...............................inch water service pipe <br /> For .......................................... <br /> _ l . . . --�.............. . . . ............... <br /> 5 .�/ ?. ' _ /i � .................... <br /> On ........'.......................�44:.<-_._..... .....l4� Street <br /> . ............................ <br /> Lot..............................................�......... Block No........_........................... <br /> Addition ............ ............................................... <br /> ............................................ <br /> Remarks ....................... <br /> ................................................................................... <br /> ........................................................................................................... <br /> .;....f_............ <br /> t `...../..�.............................................................................. <br /> �: .. , .� ......... <br /> �. .........................�.................................................................. <br /> ............................. <br /> ...................................... ................................................................................ <br /> ��% i � � Superintendent <br /> LAROR AND MATERIAL OBED <br /> No. Size <br /> ................._................................... Lend Connectlon Comp]ete <br /> ..................._................................. Snddle Complete <br /> ......................ft............................ .......................................................... ........ ..Pipe <br /> ....................................... ............. Scrvice Cock <br /> ...................................................... Scrvice Box <br /> No. Houra Lsbor..............................................Coet................................ <br /> .................... <br /> CutIn....................Pavement....................X........................ ........................Sq.Ft. <br /> ...................X........................ �� <br /> ......._............... <br /> ....................X.............. ......... �� <br /> ....................... <br /> ....................X........................ ....................... .� <br /> Total ........................Sq.Ft. <br /> Remarks..................................................... <br /> / ................................................. <br /> ... ..................................................................................................................... <br /> (.,::................................................................................................................ <br /> ....... <br /> OrderRecelced............................................................................................... <br /> �Vork Completed......................_........................... / <br /> ................. ......_.... .. <br /> Foreman <br />