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- ,�:s"2 6' 3 . . , � . ��, <br />w. o. ro r+ o <br />-CITY OF EVEIiE7�T--`JVater Dept. <br />-- � i =� �:— l � is..t .� <br />... ...... <br />Application No.�.::1. :^..::t :..? Date..._ ..: ....... ....... ... . ...... <br />7nsta1l ..... ........ . . ...... .inch wzter service pipe <br />// L %� / <br />• , �--r_�� �'.i{.t'.<:L��.-�.'.� ............................................ <br />For .-.�`/.✓G1..: ...... ............. .�./ <br />On ......_�-..��t:.z,� �'�::.�ti.c :....................................... Street <br />, . 7 1_;Lt� /^ --..--.... Block No ..................................... <br />Addilion .................... - <br />............ .............................................. . <br />Remarks .... . ........................ <br />......................... <br />.............. ............/j� <br />.............................................L �i*�:�;,lil..�: r.C%......................................... <br />I,ABOR AND MATF.RIAL USED <br />I.ead Connection Comp�eie <br />Saddle Comple�e <br />................................................... <br />Scrvice Cock <br />SCI'JiCL' BOX <br />NO. HOLLCS L]bOt .................... <br />Cut in ....................Favicenent. <br />........................Sq. Ft. <br />........................ �� <br />....................X........................ ........................ <br />.� <br />....................X................. <br />....... ........................ „ <br />Total ..........._........_.S4 Ft. <br />Oruer?7eceived .................................._...... <br />\Vor}: Completed ...................................... <br />.............................. � <br />......................._.._ I <br />Fareman <br />