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��� ��' � — I ., _� �� .s� � <br /> W. D. lORM� .� . ' <br /> ' - CITY OF EVF.RF�T"I'--Water Dept. <br /> ApplicationNo✓.�:....;;.�:..'l� Date............_c:...:..�......................ln/-..% <br /> Install........_.... .............. .iqch water serv'r,e ;�ip^ <br /> �� �; 7-�7; / T <br /> For ._.�-.,._,.�........._:.��:...._..C�...i`.:5.: :...c.,;,c.'.................................. <br /> l6� ZOn �. ' � , � � <br /> ..�.�..::......:.:'._........�.�'::r.:.............. ....L.. ................ Street <br /> .5; /3-a��.. •� <br /> Lo, .Y............................................................ sio�k rro...................-�-�-�---....... <br /> Adascion ......................................................... _..__........................................ <br /> Remark� ..............................................................................._........................ <br /> � t:.�.:.��.::,:.:.�...1:;.:::............................. <br /> ... ...... ... � ...................... <br /> .................................................................................................................... <br /> ............................. ...................................................�- ...................---......_ <br /> .... ............................ ....................................................................�----....._ <br /> Superintendent <br /> LABUIi AhU �iATF.RIAL USBD <br /> No. Size I � <br /> -- _ — — — <br /> .._............................................._...i Lead Conr.r;tian Comvlete <br /> _........................................__.......� Saddlc Compietc <br /> .......................'t............................ ......................................................................Pipe <br /> ................................._................_ Se�vice Cock <br /> ............................................_....... Ser�ice I3ox <br /> ........................... ..... ....................'i ...... ....__......................................................._........................................ <br /> No. Acurs Labor............................................_Cost............---.............._................... <br /> Cutin...................Pavemcr.ti............:......X........................ ........................Sq Ft. <br /> ....................X........................ �' <br /> ....................... <br /> ._.................X............_........_ �: <br /> ........................ <br /> ...................X....................... �� <br /> ........................ <br /> Total ......._...............Sq.Pt. <br /> __---------- ---- — <br /> f:em. <br /> ,ar ......................_........._................._... __ _ __ __...._..........._............ <br /> .......... . ..........................._.............._............................ - .................... . <br /> . ...................................................................................................................... <br /> Oidr,r ?�eceiee�.._................ ._..........._........_.............._.............._................ <br /> \6'ork Completed................................_.._................................................ .... <br /> Foreman <br /> , <br /> � <br />