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/S'02 3 �� -� �� , <br /> w. f). IOPM � <br /> � CITY OF EVEIZ�TT--Water Dept. <br /> Application No.f._�1. l_..�..:; Date..........�: ....L.........................19_f: � <br /> Instal .................... inch watr.r service pipe <br /> .� � 2/� � � f <br /> For .._C+.,'......:.1.........� . .a:�.w:.fzC.�,7.. ....�.............................. <br /> On ......._.`.1.�..7...........[:2.+!_���c�'.......�tz4 ...................... Street <br /> Lot.............................................................. Block No..................................... <br /> Addttion ...__ . ................ ............................................................................ <br /> Remarks ........................... .. ... . .... .. . . . <br /> � . � <br /> ........................................ <br /> _.............. ......... _..._....L_.E:.:I�.a.�;S.�G�.:- attc�...................................... <br /> .. ........ .. ................................................................................................... <br /> ....................................................................................................................... <br /> ........._........._.. .. .... ......................_................................................... <br /> Superintendent <br /> �� I.ABOR AND MATRRIAL USED <br /> No. ' Size I __ __ <br /> ------ --r---------- <br /> ............................................... __..I :.cad Connection Complcic <br /> . ._._............................................. Saddlc Complcle <br /> ._...__..........._ft...................... . _._..........._........................__...__................. Pipe <br /> ._..............................._............_._ 5ervim Cock <br /> ........................... .. ................._... S,:cvice Dox <br /> No. Haw•s L�6or.............__........____.............Cost................................................... <br /> Cutin.. ._.__ _ __.Favemcnt _.................X...............__.._ ......__..............Sq.Ft. <br /> ................._.X........................ �� <br /> ........................ <br /> __ ..__........X.... ................ ........................ <br /> �� <br /> ..................X........................ �� <br /> . ........................ <br /> Tulnl ..............__..__Sq.Ft. <br /> —� - -------- <br /> Re�na rks............. .............................................................................................. <br /> _ _ . _. . . ....................._.........................._..............._._................ <br /> ..................................................................................... <br /> OrderReceieed __ ....._.... ..._ . .... ........ ._ ._._......_. ...___ ..................... <br /> lVork ComplMod _ . . _ _ _ .... . <br /> F'oremnn <br />