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��� 7 � l�c;.s <br />w. o. .o �, , :'v <br />� CITY OF EVE�2E7�1=-Wa�er Dept. <br />Application No.L '� � I. i.. Date.........<).-.� .................19...Gc->J <br />.. . . <br />� 1as`ail ...../. �' ........ .inc}. water service pipe <br />�� Ci� �- c � <br />Fer ._�. `f�r .. . .L,.C?:r.�..�i,�.,,lt.:...... <br />. . ' , . .... ......... .......... .. ... . <br />On .. � 1' a b ..... ...��: t . .��..�.ta�� .. .... ... ................ ........ Street <br />Lot............................ ........................ Block No..................................... <br />:ldciition .......................................................................................................... <br />Remarks .......................... <br />.... _ ............. ........ .... ............. <br />�. ............................ <br />....................................----- �:.t.t:�:��':jl.�r:..C.t.�,.v....... <br />. ............................. <br />� <br />Superintendent <br />LABOP. A*D MATERIAL USED <br />Lead Connection Complete <br />Saddlc Completc <br />.._ ..............................._...._ _................__.......Pipe <br />Se�virc Cock <br />Service Box <br />........ _ ...... _.. _. . _ . <br />� <br />No. Aoui�s L�hor........... . ..C'ost ........................................ <br />...... .. ....... . .... . <br />... ...... <br />ut m ............ .....Pavement..... X.................... <br />........ ........ .. .. .....Sq. Ft. <br />....................X....................... �� <br />........................ <br />....................X........................ �� <br />........................ <br />...................X....................... .� <br />TotN <br />= — .......................Sq. Ft. <br />--- <br />__-- <br />Re�narks .................... — <br />................................. <br />-- - <br />Order Received ............. ............................ <br />................ _................................ <br />�Vork L'�inplet?d ........................_._......._..._........................................._..._ J <br />5oretnan <br />0 <br />