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� J�-'a 7 9 ,,��_�� _. <br /> � <br /> W. �. ION�� . <br /> CITY OF EVEhE"1T--Water Dept. <br /> �- � / � <br /> Application No..L.:_1.1.�. .I. Dnte...._�... 1..............................i ...._.�` <br /> ' 1ns�11..._../......::..........inch water service pipe <br /> � .�' �',� ' ' -' <br /> For ...... �...... . .:..:....z.... .. �r,.. .... <br /> On ...�-�%.�..y........_ .� ..:e.:�,�:l.K:r�......_..._........... S`,reet <br /> Lot.............................................................. Block No..................................... <br /> Adciition .......................................................................................................... <br /> Remarks ............................... . ............... <br /> . . .. . <br /> ......;_............................ <br /> _........ ................................... ..:.(c Y.12!:�c�GG.::..��:?..t�......._......................... <br /> ........................................"'................................................................................... <br /> ................................................................................................. ...."""""......'"""" <br /> ................................................................................................................""......... <br /> Superintendent <br /> LABOR AND MATEftIAL USED <br /> No. Size I <br /> — - —�— — <br /> .....................................................I I.ead Conneclion Complete <br /> .................................................... Saddlr Complete <br /> ......................ft.... .... ........._...._ .......................................................................Pipe <br /> �.. ._................... Scrvice Cock � <br /> .................. ......... <br /> ......................... .......................... Ser:•ice Bo�c <br /> ...................................................... ............................................................................................................... <br /> ..................................................... ..............................................................._............................................... <br /> No. Hours Lauor............... ............................Cost.................................................... <br /> Cul in......... P:.vemcr.t....................X....................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ...................X_.........._.......... ,� <br /> ........................ <br /> Total .................__...Sq.Ft. <br /> --- ---- ---- — <br /> Re i n a r ks............................................................................................................. <br /> ............................................................................... ......................................... <br /> ......................................................................................................................... <br /> OrderReceived.............................................................................................. / <br /> \Vork Completed...................................... ............................... ..............._ _. <br /> Foreman <br />