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� s'os'9 � � �%�` �- <br /> A'. 4 • t� ] <br /> - -CITY (�F EV-ERLTT--Water Dept. <br /> Application No..::...:C.'.r.::. "'._! Date................................................19...... <br /> iastall.............................. .inch water service pipe <br /> For .................................................................................................................... <br /> � :. <br /> �� : . , . ./ . . .................................. Street <br /> On ............:...::....:................_......._......... ...�....,. <br /> Lol...c.2.a�........�w�!t:sr�,lf%a.-- Block No.......-----....................... <br /> !ldiiition .......................................................................................................... <br /> � - —. <br /> Remarks ...........ic::�•�..::�<:r�: .<...._...................................................... <br /> ............................................................................................................................. <br /> ............................................................................................................................ <br /> ......... .............................................................................................................. <br /> ...................................................................................................................••-�- <br /> Superintendent <br /> LA30R AND MATEftIAL USED <br /> No. ' Si-e I <br /> ----- � � - <br /> .....................................................I :.cad Connection Complete <br /> ...................................................... Saddlc Complete <br /> .......................f t............................ ........................................................................Pipe <br /> ....................................... ............. Scrvice Cock <br /> ...................................................... Scrvice Bea <br /> No. Aours Labor.............................................Cost.................................................... <br /> Culin....................Pavemenl....................X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ �� <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ---- ----- <br /> Re�na rks.............................................................................. .............................. <br /> ....................................................................................................................... <br /> ............................................................................................................................. <br /> OrderRecci�•ed............................................................................................... <br /> \Vork Completed....................................................._......_......................... . <br /> Foreman <br />