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�y v <br />� i�/> <br />w, o. ro�� � � <br />.. -.CITY OF EVE�x E�"T--Water Dept. <br />Application No.l-�fl�.%.% Date ................1's�.��../...�...........191z <br />� <br />7nsta1l ..................... ........ .ir�ch water service pipe <br />� .L�' ✓ ' <br />i�i.,--• ,.r« _:z��-cg ....................................et <br />For ....kK�-.�.�_�._?!:....._... _ / <br />�1�� `' ....�.(..�.,,�a..,!��,�w�� <br />n .............. .... . <br />....... .... ... <br />Lot............... ........................................... Blar.k No.......................-•---•--...... <br />Ar�uition .......................................�---............................................................... <br />Remarks .......li.'r;��l.�.c.�r:�� .......................................................... <br />No. <br />LABOR AND 7dATERIAL USED <br />:.ead Connectiun Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />j`i0. xoul'S L]b0[ .................... <br />Cut in..........._.......Pavemcnt. <br />... .............. ............ <br />Superintendent <br />.X ........................ ........................Sq. Ft. <br />.X ........................ ......._............... <br />�� <br />.X ........................ ........................ <br />�� <br />....................n........................ ........................ <br />Total ........................59. Ft. <br />_---- <br />Remarlcs......................................... -........................_..................................... <br />.............................................................................................. <br />.............._.......... -- <br />Order Received ...................................... . <br />\Vorlc Completed ......................_...........- <br />............... ............... <br />Foreman / <br />