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J <br />w. o. ronrn'�� � � � F / / �� �. � <br />� CITY OF EVLRE'IT--Water Dept. <br />Application No../ �'� �. � Date...........n.A.... �..... �c :::...............19..--� <br />Tnstall .............................. .inch water service pipe <br />� �.� y 3 <br />For- - ..r........'....._...... .......................................---� .............. <br />� ... ... ........ ��/- ............. <br />On .:-:.. ..��.� 1.. .��l�Z-G.�rC���s,� ..................... Street <br />Lot................_................................_..._.... Eiock No......_................---........... <br />Addition................_- ....................................._..........................._................ <br />Remarks <br />Superintendent <br />I.ABOR AND MATERIAL USED <br />Lead Connection Cmnple[e <br />Saddle Comp]ete <br />... _.. _ .......................`-................ <br />Scrvice Cock <br />Service Box <br />No. Y.om-s Labor ............................................_Cost..............._--................................. <br />Cul in ....................Favement....................X........................ <br />........................Sq. Ft. <br />.................. .. ......................... ........................ <br />......_............Ji . .................._. ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ................_...._Sq. Ft. <br />-------- ----_ _' - <br />Remarks................................................ _......................................... ---�- - - <br />_ . ....................... .... ................ - ........................._...... <br />........... ............................................................................................................ <br />OrderReceiced .......................................................................................... ..1 <br />\Vork Completed ............................................................................................ <br />Foreman <br />