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- - ��08 �- -. . >,�y, <br /> w. o. rnnr+� <br /> CITY OF EVE"ttE'I"T--Water Dept. <br /> , � �-_� _ <br /> Application No%..�rE..rl..f... Date................ ...............................19....:.•-� <br /> lnstall..............................' ch -Nater service pipe <br /> �. �/ ;•� <br /> For ......��c`.-1:.r�.ac.x.�.l......��... �,c.�:.. c.::..t<../....�..... ................ <br /> On .._...........�..Il./.......... r..c�:C:cea.:�.. -.*.-;:......C�:.�rc:�:� Street <br /> Lot............................................................. Block No.............................---.... <br /> Addi!ion .......................................................................................................... <br /> Remarks ......................./../. . ........ . <br /> .........................................4.'�.l.�.x.'�.K� . •...4:2.�:�......................................... <br /> .............................................................................................................................. <br /> �y........:=:..%..��'.:.................................................................................................. <br /> S'..-...�.�...-..].1...........................................................................................••-�- <br /> . � Superintendent <br /> I.ABOR AND h1ATESIAL USED <br /> No. I Sia� I <br /> -- <br /> ...................�..._,..,...,,............. Lead Connection Complete <br /> ...................................................... Saddlc Complete <br /> .......................f t............................ .......................................... ........................Pipc <br /> ..................................................... Sen•ice Cock <br /> ............................ <br /> .......................... Service F3ox . <br /> ...................................................... .............................................................................................................. <br /> � ....................................................... <br /> No. Hours I.�bor.............................................Cost................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................R........................ �� <br /> ....................Y........................ ........................ �� <br /> ....................R........................ �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> ---'— <br /> Remarks............................................................................................................. <br /> ........ ...................................................................... ......................................... <br /> . ............................. .............................................................................................. <br /> OrderRecei��ed............................................................................................... <br /> \Vork Comple+ed............................................................................................ <br /> Foreman <br />