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•� <br /><�.t-:.' .. <br />r ,x.,. <br />/,�O�D �s��`' '- ,' ,. <br />w. o. ,oA„ � y /�� � ,a <br />" 'CITY OF EV)�REiT--Water Dept. <br />ApplicationRo.../..L.:�.{:��.... Date..........,'._.-i.::..�:_:f .............19...... <br />In��all ...............................inch water service pipe <br />r�� :.................' ....................... -.... .................... <br />........-�-- <br />_ ........................... , <br />„ � . <br />� ._., . <br />'� ' ,,:%.::...:.�.....:..:� :1..�';�� ......::::..:........... Street <br />On .....L ::...^..1.....- .,....r...... r <br />LoL............................................................. Block No.............---....------......... <br />:!ridiiiou ........................._..................... <br />Remarks......................_--...................., <br />..................."'"'"""__ ' ' / <br />, <br />, <br />, <br />�, , <br />.."'..........:�"�"' �""..::'.:.:!/.-... <br />LABO£. AND MATE2IAL USED <br />No. Aours Labor <br />Cut in .................... <br />:.ead Connection Complete <br />Saddle Cumplete <br />Service Cock <br />Servicc Bo�x <br />.............................. <br />....................X...... <br />........................Sq. Ft. <br />_......_ ............... �� <br />........................ �� <br />n........................ ..... ................. <br />.................... T o t a 1 <br />........................54. Ft. <br />--- - <br />Remarks ............................................... .......................................................... <br />_. ................................ _................... <br />.............. ---_ <br />Order Received .................. <br />\Vork Completed .............. <br />Forem�n <br />4� <br />; <br />