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w.o.ionM o~ I ���� ' . �c,`�j.'rl Ci�.. <br /> CITY OF.; EV�Et2�TT--VtJater Dept. <br /> : ` L� '� V <br /> Application No........._......... _:. Date......�/��-l.�I:LL.,_! ............19._U'� <br /> i:�:;tall.........................(.l.inch water service pipe <br /> For ......................._......._ . . .... . . ......... . ........... <br /> �.. .... .......... ................ ......... <br /> ... <br /> On .....'�'7i 7�.5�.... . .:... ......2�7�E'�'�.f......:�............. Street <br /> Lot........................ ..........__ ................ ..... Block No...........--------................. <br /> Addition .._................................ _......................_.......................................... <br /> Retnarks ....... .................................................................................................. <br /> ...................... ................................................................................................. <br /> .......................:........................................................................... ..................... <br /> .......... - .........................._......................._.........................._ .---.......-----.... <br /> ........... .............................................................................................................. <br /> Superintendent <br /> LABOR AriD MATHRIAL USF.D <br /> To. i Size <br /> . .. ..-- —�— <br /> ...........................�..........__...... I Le.�d Cnnnectinn Complete <br /> _...............................:.................._ Sad;lle Complete <br /> .......................ft...........................� ......................................................................Pipc <br /> ..................._................................�� Scrvicc Co:k <br /> ...._............................_........,........ Sei^aice Box <br /> ...........................�........................... ................................................................................................................ <br /> .........._............_I.................._. _. ........--..................................................................................................... <br /> ..........................:I........................... ................................................................................................................ <br /> No. Hours L�bor.............................................Cost.................................................... <br /> Cutin.........._ .......Pavement_ .................X........................ ........................Sq.Ft. <br /> .. ................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ......................:.Sq.Ft. <br /> -- -- ---�---------'---- <br /> Re in a r k s...................................................... ...................................................... <br /> ..................................................................................................................... <br /> ..........................................................................................................._........... <br /> OrderF.eceiced............................................................................................... <br /> \Vork Completed........................................................................................ .. / <br /> For�man <br />