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/.�"08;3 . _ ��� i� <br /> � <br /> w• C� ronH Z <br /> CITY OF EVEFi��'1T--Water Uept. <br /> , r-_ � <br /> Applicatiou Nof•.a'.[:.�: .� Date..._...�1..-..1.........................19._l �C <br /> /J /�Install.J... `......... ..._....../igch water service pipe <br /> For ,�`1.2li.�..........C..! -c.G. 4 - ., <br /> ....... . >. .. .a�r::k.':............................... <br /> ' �-� 1- <br /> on ....._�.�.��1..-.<.�..�.............. <:�:. .c�c...:.�. .ti.<s:::........... street <br /> Lot............................................��--••---......... Block Nu...............................---... <br /> Addition ........................................�--............................................................... <br /> Rcrnarks .............................. . . ............ . <br /> —Y/ - � - - <br /> ...............................................::.��lY/..4��(.l.L.�.Cs.r'z:�:..................................., <br /> ............ ..........'...................... .................................... <br /> .................................... <br /> . , <br /> �: C-n� <br /> �^�................ ....................................................................................�--.............. <br /> r - <br /> �� ..... ._�:....�t?,1...................._.................................. <br /> ......................................... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> Pfo. ; Size � <br /> --'—T -- — — <br /> ................._........I........... ........... Lcad Connec.tion Complelc <br /> .......................... ............................ S:.ddlc Completc <br /> .......................f t............................ ........................................................................Pipc <br /> .............................._..................... Scrvice Cock <br /> ..................................................... Service IIox <br /> No. Haurs Lsbor..............................................Cost.................................................... <br /> Cutin....................Favement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ..... �� <br /> ............... ........................ ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Total ._.....................Sq.Ft. <br /> — -----'-------- <br /> Remarks............................................................................................................. <br /> .......................................................................................................................... <br /> ............................................................................................................................. <br /> OrderRecciced............................................................................................... / <br /> \Vork Completed............................................................................................ <br /> Foreman <br />