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'3. J. PF�C9C']N �33 76 � � �: � :: .:� <br /> «. u. rourn a <br /> CITY OF EVEhL-TT--Watc:r. '�ept. <br /> �, :. r, l; � . , / <br /> Application No....._.��.sz.. `r Date......_�.,,;{��:2:�.4<....!........19.(!� <br /> Install._......................_Ginch water service pipe <br /> For ......... .............._.. <br /> ...................... . <br /> / ...... .. ...... <br /> ................�---................ <br /> On ..._�-�r._s'���E,......�11-:/%1/??.1_�.1:-t�C_�.__.��.... Street <br /> :ot.............................................................. Block No..............----.............--�-�- <br /> Adclitian ...................................................................................................... ... <br /> Pemai:4s ..................................................................................................... .. <br /> ..................................................................................................................•--�--• <br /> _......_........................................................................................... ...................... <br /> ...................................................................................................................... <br /> ........................................................... .......................................................... <br /> Su�ei�intendent <br /> I.ABOR AND MATF.RIAL USFD <br /> No. � Siu I <br /> --- r--- ---- — <br /> ................................................... . Lcad Connection Complete <br /> ......................................................I Saddle Complete <br /> .......................ft.l......................._.. .__..__.................._.........................................Pipc <br /> ..................................................... Scrvicc Cock <br /> ...................................................... Ser:ice Dox <br /> _..._...................'................._._..... ..._...__..........._..................._..................__.............................__.........- <br /> No. How�s L�bor._...........................................Cost.................................................... <br /> Cu[ in...................Favement....................X....................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ....................... <br /> Tatal ........................Sq.Ft. <br /> — —'---"— —'---- <br /> --_ <br /> Re�r arks....................................................................................... . <br /> ................... <br /> ......................................................................................................................... <br /> .......................................................................................................................... <br /> Crdr.r '?aceii•ed........................................................... .................................. / <br /> \,roi4: Co:nplcted............................- ...................... .............. ....... .. <br /> t'ureman <br />