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` ���� , �: . ,� <br />w. �, ronu a (-. � rt. . <br />y CITY GF EVEF��T�'--Water Dept. <br />rlppl�cation No..L.:j= . �.%4.... Date_....: �..: �.'.i:i1 ...................19...... <br />Install .............................. .inch water service pipe <br />rar........ ............ ......................................................................................... <br />On ......'.7..='...l..;i'.... � :.::�!.�.::��..�i_:<:r..��*Ltr �: <C�.---....... Street <br />Lot.............................................................. Block No..................................... <br />Addition <br />No. <br />LABOR AND rfATERiAL USED <br />Lead Connection Complete <br />S idle Complele <br />.................................................... <br />Servicc Cock <br />Scrvice Box <br />...........................� ..........................� .................................................................... <br />No. Fiours Labor ..............................................Cost.................................................... <br />Cutin ...................Favement....................X........................ ........................Sq.Ft. <br />....................R........................ �� <br />........................ <br />.................... ........................ ........................ <br />�� <br />....................X........................ ........................ <br />.� <br />Total ........................Sq. Ft. <br />_—__— _ <br />Rom��kc ._.___""'_"".........._"_"_""""""_'"..._"'_'"......__"'........"""".......... <br />Order Receit'ed..... <br />\Vork Completed. <br />