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-' /7,�ii <br /> � �, <br /> "., w. o. ronH o — <br /> ,.s =�— ,' 'i <br /> � CITY OF EVEF.E�"I'--Water I)ept. <br /> ',. , APPlicat:on No..r..:%, ,`>.. .... Date.......... .....:...:.1....�..:�...........19...... <br /> _,.:. <br /> g �" Install................. ......... ...inch water service pipe <br /> p y j . For ............................... .............. . .............. <br /> , � ...................... <br /> `r.�. _ „ G� � , % <br /> �,., . i , <br /> � On ......................r....... ....._:� � _.....:....:..:::..�./---........... Street <br /> b ��:= � <br /> ":;, ; . Lot . ..... ................................ ................... Block No...��.......---.............-----.. <br /> `_.; :lddition . ........ ..... _...................... .. ............... ...................... ... ............. <br /> itemarks ....,.7..............................._..........................................------............... <br /> ._...................r1_i1�:�- <br /> ._.... ' ...................................................................................... <br /> .............................................................................................................................. <br /> .................................................................................................../........................... <br /> ............................................. ........................................_.....�:L..:��.'�:_i:;.�!--- <br /> Superintendej�t <br /> �:1.� <br /> LABOR AND MATERIAL USED <br /> No. I Size <br /> --- <br /> ...................... ........................... Lcad Conneclion Car.iplete <br /> ...................................................... Saddle Comp]ete <br /> .......................ft............................ .......................................................................PiPc <br /> ...................................................... Scrvicc Cock <br /> .................................................. ... Scr�ice Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in...................Pavement.........__.......X......_................ <br /> ........................Sq.Ft. <br /> ......_.........._X......................_ �� <br /> ........................ <br /> ..._....._._.....X........................ �� <br /> ........................ <br /> ...................a........................ �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...... .............. . ...................................................................... <br /> .......................................................................................................................... <br /> ........................................................................................................................... <br /> OrderRecei��ed............................................................................................... � ,. <br /> \4ork Completed........................................................................................... , , <br /> Foreman <br />