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__ —, _ .____ �_..._ L.� <br />w. o. roew a /�/�� :. �. , <br />� -CITY OF EV�RFTT-.Wazer Dept. � <br />Application No.�7././:.C.._... Date._ ............:�_:C....�..`�..........19....-- <br />Instell ...............................inch water service pipe <br />For...............................................................�...................................--Street <br />-�- <br />On .........lP....%./.1.....:;��.�u��� �%_�L a - ,c'.<r°". <br />. . ................... ..................................... <br />Lot.......................................................�--.... Blo�k No.....-�---........................... <br />Addition.......................................................................................................... <br />Remarks............} ........................................................•--�--� <br />............................ <br />... ............ �.:: .1../,�:........................................................... .............................. <br />............... ........... - --- <br />Size <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.�_.........I ScrviccCock <br />Scrvice Box <br />No. Huurs Labor ..............................................Cost.................................................... <br />Cutin ....................Pavemcnt....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />OrderRecei��ed .................................................................................. ... ...... <br />. <br />�Vork Completed .............................................................. <br />......... ....... ..... <br />Fbrem„n <br />