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/�"O42 I/�'�Y <br />y <br />w. o. ronw o V <br />� CITY OF EV�REiT--Water Dept. <br />Application Noi.,��..L�..`�..�... Date.......5....'......� .....................19.�::� <br />` lnstall ............. inch wa;er service pipe <br />Far . ✓ . �/ �..^)........... - <br />�. �-�� -� ��/. ..�� :............. ... . . .......................... .. . .. <br />� ` : .�.�:� :y .............. ......-..........................._--. Street <br />On .........0 :..... . .. ....... .. <br />I.ot ...........................................(/, ---....._. IIlock No...._................................ <br />Additinr """'' <br />...... _ ............. .................................. ................................. <br />Remarks � � - �-�-- " <br />. . --- <br />.................. .�- .............................._....... <br />.:�Za.^.s:aL_ . :C.r.i......... ..........................__...... <br />. .. . ..... <br />.......................................... ... • <br />. . __'"_""""""""" ............... <br />LAROR dND MATEfttAL USED <br />.�T cad Connection Complete <br />Saddlc Completc <br />.. I ...........___ ................_................ <br />Servicc Cock <br />Scrrice Box <br />Superintendent <br />...........PiPe <br />... ... . . . . <br />No. Hours Labor ....................................... . ................................................ <br />Cutin .............._....Favement....................X._......_............. ........................Sq.Ft. <br />........... _ .......X ............ ............ ....... _............... <br />�, <br />....................X....................... ........................ <br />�� <br />............X ....................... ........................ .� <br />........ Tolal <br />........................Sq. Fl. <br />__�— -- <br />P.emar ...................................... <br />....................................................�---............... <br />.................. _.............. <br />.................................. <br />Order Receiced._....._ <br />�`lork Completed...... <br />_ ......... ....� <br />Foreman <br />