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�S.�A .�, ;���-� <br />w. p. rartn� � <br />CITY OF EVE�EIT��-Water Dept. <br />Applicatir�n Nu..l-Lr/l�.,fr... Date...........!�.-� ........................19...('��C <br />��� Instnll ...... ...�....................inch wster service pipe <br />F'.r .....;.,S.�sc�::r��.L.a,:.......1.�/.Gt..':c.�.`[.L.�' ........................................... <br />On ......_ X..=�'..:�._J... .....rt.{.:.r.�fi2.� .:....................................... Slreet <br />r.�� - -- - ..... Block No........_ ........................... <br />Ad�lition ........................................................................................................ <br />Remarks............................... ...............................J.. - <br />J/ `/ <br />.............................................. ...1..-t.6-.a � f�C..-CLL.C.r7.5 / ........_........._......... <br />...................................................................""...... <br />Superudend^nt <br />6 LABOR Ar:D MATtR1AL L1SED <br />rro. s;Z� i <br />..... . ............ ...............:......I Lcad Conncction ComPlete <br />. Saddlc Complete <br />.........._..........St I............_.... .......................................................................Pipe <br />..........................I...._..................... Scrvicc Cock <br />. _----_-'--....... Ser� ice Box <br />�....�__..._._....._..I ..........................I �.....�._�..�...�.._�.�.�.._.._.�...�............_.._�----...._.__--_......__........�....�..�... <br />No. Hours L9UOC ..............................................1:09i.................................................... <br />Cutin...._....._.......Pat�ement ....................X....................... ..._... _.............Sq. Ft. <br />....................X....................... .� <br />....... _ ............... <br />....................X....................... �� <br />....... _...... _ ....... <br />....................X........................ ........................ <br />., <br />Total ........................59. Ft. <br />Remarks ................................ .......................................................................... . <br />.........................................»........_......................................................... .......... <br />OrderReceived ............................................................:.......................... ..... <br />tVorkCompleted ........................................................................................... <br />Foreman <br />