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� , ,�l ,.�D Z G : . �, � � �. <br /> w. O. lOMM <br /> _ :. CITY OF EVfiI2ET'I'--V�ater Dept. <br /> Application No.I...?_�.:....l.L Datc._...._c,........L.........................19..C'. ! <br /> I7sta11......... ................ ....inch water servire pipe <br /> For ......,1...,..c....._..,;:.1/.,,.tJ.`-._�.:�.�...,:_...._..___... . .................. <br /> ` � `.l G �.�t • _ / �^....... . Street <br /> On ...........�4. . ........... .. ......,.,.::.��... . ...q...�.:c.��.................. <br /> J.ot.............................................................. Block No..................................... <br /> Addition ..... ...................................... .................._......................................... <br /> Remarks _..........................f.. �........_.. ...... _/..1..,........................................... <br /> _..............._.........._.............1.:.�...1.1..G..4�.�:...C.t6.t.`............_.......................... <br /> ....... ................................................................................................................... <br /> .................................................................................................�.......................... <br /> .. .............................................................................................................'"'......... <br /> Supertntendent <br /> —� LABOR AND MATERiAL USED <br /> Na. ' Size I ----_-- � <br /> __ _ - ___._ __.—_r._—. .__—_ <br /> .._.__................................_...........I I.md Cnnnection Complele <br /> . ....._................. .............._........_. Saddle Complele <br /> . _._................ft............................ _ _..........................................._.._.........._....PiPc <br /> ._......................__................_...... Scrvice Cxk <br /> ..........................._.................._... Scrvice IIox <br /> .. .. .. _ . ..... . . ..................... ............. ................. ... <br /> . . .. .. I ... .. . . ...... . . ...... .. ...... ......... . .............. ... . <br /> No. How�s Lsbor..............__....._.....................Coet.................................................... <br /> Cutin.....__.___....Fx�•rmenl_..__.........._X........................ ........................Sq.Ft. <br /> .............._....X........................ �� <br /> ........................ <br /> ...........X. �� <br /> ....._. ....................... ........................ <br /> ................._.X_..............._..... �� <br /> ........................ <br /> Total ....._.................Sq.Ft. <br /> - - — "- -�— <br /> Remarks........._.................................................._....._ . .. ................................. <br /> __.... ..._..... ..................................................................._... ......................... <br /> ___................_......_............................................................................................. <br /> Order 2�ecci��ed ....... ......... ......... ..... <br /> \Vark Cnmplctcd __ __ _ _ _ � <br /> I'arrman <br />