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w.• o. .o <br />�5�� � � ' . .. � �. r 7� %. <br />' CITY OF EV�RE�!'--Water Dept. <br />is� �.� <br />A�plication N ....2�...�'. ....�-....�..-`- Date............�..... �--�---.....19�..=_ <br />Install ..................... . ...... .inch water service pipe <br />For ..........i��i.t� ...... �.....�....�.*.wr..�.c.:.................................................. <br />� �i�" �."` _•. <br />On%�1�..� ....�...�.....�........,�.:i-�.� � a.t�:c.....N�t? f.......... Street <br />T.�r -- --- -----------.. Block No............_ ....................... <br />Adnition...............................................................................................�---....... <br />•.iemarks �".�/�..c�� ...:.........�---.............................................. <br />Superintendent <br />LABOR AND MATERIAL IISED <br />No. Size .._ <br />:.,ead Connection Complete <br />Saddle Complete <br />5ervice Cock <br />Service Box <br />No. Hours Labor ..............................................c;ost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �, <br />........................ <br />....................X........................ ........................ <br />�� <br />Total ........................Sq. Ft. <br />Order Heceived............ <br />\Vork Completed......... <br />.................................. ...�........ .. <br />......__..... . <br />Fore[nan <br />