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✓ �' ��� /// <br /> S 1.Priebe�P�jA6 J5��� � � c..[ / ` -� <br /> W.D.Fozm] ' l! � <br /> CITY OF EVrRE1T--Water Dept. ' <br /> Application No.._(:�:��...�>... Dat -............................:�l.�..19..J�..� <br /> ? InstallA:.....:`���._...��..inch �vaier service pipe <br /> J�.__. <br /> �.� n .. . • .. -,. <br /> .. �, <br /> � � � .:.....;.!�_�'............................ <br /> For ' � " <br /> ....._....._'....... . ..........: .7._.__...._.. <br /> "1..�" %� .. , <br /> On ..............�.._?,_�...7.......-=-::_.v:.--'-:...::::::...: -;.:..4.`:::,._..,.:.... Street <br /> Lot............... .................................�-..... Block No................................--�-- <br /> Addition ............. ....,�.._........................................._.........::......................... <br /> � � N : ...,_{_.�, . �..��c�.............._.....—�.... ", . : �. <br /> Remarks ..i�..........�.:. ..........- - -.�.:..:.:......:......... . <br /> ....... <br /> ,, f , <br /> , � �� - , . . _ <br /> .. _ ... <br /> . �.,._r..----..................�-- <br /> �(:' i 1.!.:"'.". ...."................"...............�. <br /> ................ ..... ....... ...... . <br /> ._............�.._........ �...................................f�.�_� .............-.--y�...�1; ......- ,„ �� <br /> ....._ <br /> ... . �.. .. <br /> ....... ............_...--- <br /> .....:.....�.....:::f:i`''. ......... ...................:��.:.... :.....'::;: _. <br /> ;1 �� Superinte ent <br /> V � <br /> -� B R�AND DIATCRIAL USED <br /> No. Size — <br /> ---- ,—" <br /> ............................ <br /> ..............._......... Lead Co,inection Complete <br /> ............................ <br /> ......................._. iaddle Catnplete <br /> .............f t............................ ........................................................................Pipc <br /> ...................................................... Servicc Cock <br /> .......................... Scrvice Box <br /> ...._..�........._..._....I...._......_..___..�.. .��-'�.�.--...._..........�--.���.�...�......._......�.�.............._......�_...._........_......�. <br /> No. Hours Labor..............................................Cast.................................................... � <br /> Cutin....................Pacement....................X---..................... ........................Sq.Ft. <br /> e „ � <br /> . . ................. <br /> 1 . .................... ........................ ....... <br /> i . •-' <br /> ,.1. . ........X........................ ....._.............__ u <br /> ;� , � ............ <br /> / ....................X..................... ........................ i� <br /> �f�. .\ .e�` ... ...5 F�. <br /> � �: - �..: (? Total ..................... q. <br /> --�_— — — <br /> Remarks._.....�:. ..............................._............. <br /> �.... ................................... -- .. <br /> ................................................... ...................................................................... <br /> ..................................................................................................•.-.-............... <br /> OrderReceiaed....................................................................... ...................... <br /> �7ork Completed.............:.:......:. - ................ � <br /> ................................................ <br /> • Foreman <br /> �o, <br />