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� <br /> r <br /> . /.s'08� 9� . ��.�y� <br /> w. o. ronw.� <br /> � <br /> CITY OF EVE�E�I�'T--Water Dept. <br /> t APPlication No........�!...:_j'_.. Date..........�..�....�........... <br /> f �" � �'– ..............19..�� <br /> I�stall...............................inch water service pipe <br /> �-l� � " •. <br /> For ........,.:-.. . -e,>� ..........1.7ic,� .c. �.............. . ............. <br /> � /� �� _ /i� _� <br /> On ............._<f'. �,j..L..-�......L.trSYf.s�,..:� .�:......C-.�z�.t.�G... Street <br /> Lol......._..._. _ .. _ _ _.._ ._ .. . ._.... Rlo�k Nn.. ........................ . .. .. <br /> A�idition ..................................................................._..............., ........_........... <br /> Remarl;s ............ ............... . . .. ............�......- . <br /> ..............................................��z.o,.?�/..�t....-�c,r.+5:........................---....._...... <br /> �j �/ .... ............................................... <br /> '�.......����...................._..... --....................... <br /> / .......................................................................... <br /> ��.-.�:..{..�..`...,7,�......................................................................................'---'-'-- <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> Nn. Size I <br /> -- t-- <br /> .................................................._I Lcad Conneeti�n ComPlete <br /> ...................................................... Saddlc Complete <br /> .......................it............................ ........................................................................Pipc . <br /> ...................................................... 5crvice Cock <br /> ...................................................... Secvice Box <br /> .�........._.._..... ..................... ..........................._..._......_.............._........_.._......_..._......._.._..._........ <br /> ....... ... <br /> ....... ... <br /> No. How•s Labor..............................................CosL.................................................... <br /> Culin....................Pavement....................X....................... .......................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ ........................ ,� <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —-'-- '– <br /> Remarks............................................................. ............................:.:................ <br /> .. ........................ ............................................................................................. <br /> ............................................................................................................................. <br /> OrderRecei��ed............................................................................................... <br /> \V��rk Completed............................................................................................ � <br /> Foreman <br />