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s ] i4iebe�MZ:i19� 3 �� , �v L'� ' <br /> Vi.U.Form] <br /> - CITY OF EVE�EIT-.Water Dept. <br /> �-- ��, <br /> Application No.._:3.✓.r.��..... Date.......�..' �C� -- ..19�..`� <br /> .............................. .... <br /> Install.:._3�..'._. <br /> -••....--...inch water ser��ice pipe <br /> For ..................... ........................... <br /> � � - -- <br /> ......................................................... <br /> On ................. ..U...l..�.�.._...........��:E-�:.,':�................--•---. Street <br /> Lot..............�...�....�.....�::..��..�............ Block�........r.2........................ <br /> Addition .......... <br /> ..: ..^1.. . . r �........ <br /> . ................. . ............:: <br /> -� .............................. <br /> Remarks .........:.. ... .:.'1.1.�_t::_�r -�: _. �/ <br /> ........._ ......._� <br /> ........................ <br /> �:� / <br /> ..........:..............................��"............l.....c....................1 ^ <br /> '� <�! T't�a .1 /....(".......y.............. <br /> .....................................�,.t...:.:!<..1.�:....:. • s..!....1...:._WT�..2'"_L <br /> ....... <br /> C 7......_... ....._.. <br /> � <br /> ............................................................�.'1...._s......._:.::_ . <br /> � , >................................ <br /> � ,x_-- <br /> ....................................................•� . � r ,�_.�. <br /> , . � <br /> fL.. ........... ................_p...................... <br /> ' r� � Su erintendent <br /> - �"��-- + , , <br /> LABOR AND MATERIAL IIBED <br /> _ No. Size i <br /> .............................. .................I <br /> I,ead Connection Complete <br /> ........�....`............... �/........... Saddle Compl te <br /> ....._��i.�J.......ft......�' .......................�.F..-:cG'.�_...�.....,.-r............Pipe <br /> ......r`............ r <br /> .................... ........ s��•���� co�k ,:, <br /> ...................................................... Service Box <br /> ............... <br /> No. Hours Labor..............................................Cost.....:.......................... <br /> ................... <br /> Culin....................Pavement....................X........................ ........................Sq.F'[. <br /> ....................X........................ . .� <br /> ....................... <br /> ....................X........................ <br /> ........................ �� <br /> ....................X........................ �� <br /> ........................ <br /> Totnl ........................Sq.Ft. <br /> --------._ .—.--- <br /> Rema rks........................................................................................ <br /> ..................... <br /> ......................................................................................................................... <br /> ......................................................................................................................... <br /> Order Received................................ <br /> ............................................._............... <br /> . - . � <br /> �1'ork Completed...L..�_:�:....".-'..f ..... -�..i...L_c..:�i�.`.1..::.<..�'' <br /> . ............ .n.. <br /> Foreman / <br />