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tl J PNI[B[ 3M ��� �� .• '�` R� J <br />N. O. I[1FM ] " L� J• <br />C1TY OF EVEI�E i T--Watet Dept. <br />�.��5.� > .-r",._�; JtIf11 1961 <br />Ap�lication No...._..._._...._ .... Date ................................................1�J...... <br />L•:stall ...............................inch water service pipe <br />For ................- -..... .........._�--.. ... . . ............ <br />' / / � .... . . .. ... . ............ <br />...... . ........... <br />. <br />Oii ��. '� � . .1.`'Z.c.<:-� :��...;_�'¢-z�.�l --- -....... Street <br />........... .. ... <br />Lot........................................... ............... Block No............---...................... <br />��Idition ............._............................._................................---........................ <br />Remarks................ ................................................................................... <br />� <br />� __ -- ...................._..._........................................._....----_.....- �---.................. <br />1 <br />............................................. ......"---..................................................................... <br />� Superintendent <br />LAROR Al�U 15iATERIAL US�D <br />No. <br />t <br />Lead Connection Compl�.te <br />Saddlc Complete <br />Scrvicc Cock <br />Scrvice Box <br />......Pipe <br />No. Rours Lsbor ..............................................Cost..........-`--....._............................ <br />Cutin ....................Pavemr^t....................X.............._........ ........._.............Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sc,. Ft. <br />— - ----- ---- <br />Re�narks ......................................... � ........................................................_...... <br />.............._.... - - <br />Order ??eceiced......._. <br />\Vorl: Completed....... <br />. .. . J <br />Foreman <br />