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5,1.PricUc M�'S� � � � � <br /> W.U.Form J <br /> CIT OF EVE:�ETT--Water Dept. <br /> :,� ,�,�,� %7_ � ;��_ , �� _ <br /> Ap�licztion ido._.L_1:...�...J:.._. Date.......:......---.....,-...=:.--....---..19.:....,� <br /> , � / ,. i, <br /> Insfall..:; ...��:..................inch water,ervice pipe <br /> �� ' ' <br /> ^ . <br /> . , . ., , <br /> r�i ..................... ._......:.....1_�;;-::._............._r..:........:.....�........:..:....._......... <br /> On ...............�:�L,i'.._,,......'.`..::<�...:::._::..:...'�—:.-' � ......... Street <br /> _ ;, �., --� ' •c', <br /> .. , - , <br /> i•�t- ........_-' 'r- -..:-- - .... ............ Block No......_�_r.-c.......----- <br /> Addition ..................._._..:::::...... --.._........_.__....c. --.........--�-- ..............- <br /> Remarks � � , , . • •r'-�._....r__ <br /> .....................:_ �-.....:........:......_- - -_.._..............---................. <br /> --- -� ................_..._......................__ - ......................._... ......_..............---- <br /> -�-^...`.. !''... <br /> .................._.... -- - ........... . - ...._.... ...... <br /> .-- - <br /> �'�f - �� .{' /--'%�T � <br /> ..... . . ...... "'-'-----'-'--........."'--_'.......... <br /> f� �'' ...........__ _ :: -�-,;.� ( : :� r• <br /> ... .... .....j . ..... .................�.... ......� .......:..... ... ..... . ._....... <br /> � � % /�t. Superintendent <br /> --�-L`— � --�— -� <br /> LAEOII AND 11IATERIAL USrID <br /> Na Size <br /> .. ------ — --��--- <br /> ......................................................: Lcocl Conr,ection Complete <br /> ................................... <br /> � 3ac;clle Complete <br /> . r"--,�.._.._.� . <br /> .._.......�:.:.......fl.......::..:�......._.._._i .��.5:..;.:..�.:..:.............._.................................PiPe <br /> .................._._......................._..... � Serv:ce�Cock <br /> - ._..................._......._..................... Scivicc Box <br /> ^Io. iiours LaUor..............................................Cost.................................................... <br /> Cutin..__.............Pavetncnt..._._ ._.......X.............._........ .......................Sq.Ft. <br /> � :i ....................Y........................ ..............---....... ,� <br /> � ,�- . „ <br /> �- `' "� �' <br /> ...... . .........�........................ ....................... ., <br /> ��_�a X...... ................ ....................... „ <br /> Total ........................Sq.Ft. <br /> ---_�'�"--�-------- � -----�— — -- — <br /> 3emarks._............_.... --- � � ..............-...........-- -........... --- ........._... <br /> __........._.. ......................................._..._--- ............_.................... -.._.._... <br /> ---..........__........._.............._......................................._...... -......... •-.......-- <br /> Grdcr Received...._......... -......_............................. .. /� <br /> � ' ^ � Y -l�T'G'�' / <br /> . G /'7 �,(' <br /> ......... ......... <br /> �c,•k Cor:ipi�_ted.Z.-..L.Q......_2.C......._. ...-.(r.._:......_......_.................. <br /> Foreman <br />