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CITY OF EV/ ERETI'--Water/ Dept. <br />Application NolkgS.7.... Pate..........: �..'.�_�' `�...........19...... <br />......... . <br />Install...............................inch water service pipe <br />For..................._.._............................................. street <br />On......._. <br />Block No ......... ......... <br />_._..._.. <br />Addition............................... »_...... ............ ............................. <br />Remarks............. ........ _..... _._.......... _............... ....... .......... <br />_ ......._._ » <br />.....................r,........ ..... ......... ................................... »_.:............... <br />» <br />Superintendent - <br />LABOR AND MATERIAL USED <br />No. <br />I Size <br />.... ..... p.._._..... <br />........................ <br />Lead Connection Complete <br />_.._.. <br />...................... <br />Saddle Complete <br />.............. _.... ft. <br />pe W <br />........................ <br />...... ...... ........... <br />Service Cock <br />.._......_..____... <br />..........._...._.— <br />Service Box <br />No. Hours Labor................... _...... ........... _..... Cast. .......................... _._...... _....... -- <br />Cut in ... ................. Pavement...__...._.._..X.... ............. ......... —._.._...Sq.FL <br />v _... ylu,.. <br />.................. x........... _......... I. <br />Total .................. .... .Sq. Ft. <br />Remarks.................................................. ........ -------------- ------- - -- <br />OrderReceived ..... ................. .......................... _ .................._.._.:...._.n <br />WorkCompleted ................. .. :.................................................... o.............. <br />Foreman <br />per <br />