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f � D <br />w. O.!:0�1 5 � � � <br />' "CITY OF EV��E':��'--W<<_er Dept. <br />F,pplicat�on No/�.��.% �'.%. Date.........: �.i.:�.:..:� ....................19�::.' . <br />- Install ...............................inch water service pipe <br />, � . <br />. n� _, ' l <br />- ,_.._.-. _ . ,. <br />, - �..:.., .:.................................................. <br />Foi :......... ......_.........�.�,;.......,.._.. <br />p,., ,; ,�, <br />On ...........l. -.la.✓..:....��._.r:..:.c-.:::< .:...... .........,_::....................... Street <br />Lat................................................./........... Block i:o..................................... <br />Addition...................................__................................................................... <br />Remarks .....,.�:'.:::r:.::.::..;. <br />Superintendent <br />LABOR ANB biATERIAL USED <br />No. i ��ze I __ _ <br />.._...._ Lead Connection Camplete <br />...............� Snddlc Completc <br />........................:.I.........................I Service Cock <br />___._........` ............................ Su�vice Hox <br />� <br />No. Hours Labor ..............................................Cost.................................................... <br />Culi�� ....................Pavemr.nt....................X........................ ........................Sq. Ft. <br />� <br />Total ........................Sq. Ft. <br />�-- ----'------ <br />Remarks.....x:;..i�,t'r;..T.� .................- ......_-......'................ <br />.......... <br />� :, . : <br />, <br />............... .....,r.a�_... ..�....:......:.......................... ............_... ................ <br />� <br />........ - <br />OrderRecei�•ed ........................................__.............._...............................- <br />�Vork Complcted .......................................__ ...._.............. .................. ... <br />Foreman <br />