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//��o� <br /> w, u. ron=� �� � � <br /> - CITY O�' EVF�E�T--W�.ter Dept. <br /> -, , <br /> Application No.��J—�vZ.�.-..r Date...........'r. _C........................19_l"� <br /> Tnstall.............} . . � inch water service pire <br /> ��r _....��.,_- ....../�.�:�... Z.�,1-Js:J.. ............. <br /> ........� <br /> . ................................ <br /> _ . // ��-� <br /> On ......:�.r-��.....�-�,M:..�C:t, ... �`t...:`L........................ Street <br /> Lot..................._��/9 �..---- Block No.....---....---......--�--......... <br /> Addition .......................................................................................................... <br /> Remarks ............................. .... . . . . --/f................................._.......... <br /> ..............................................�J.:�i.xti�.G2:f..«Xl�.......-'-'--'---................... <br /> .. . _ . .. . ..... .......................................•............... <br /> .. <br /> �, �.../�^.....E'....��.................... """'......................................"'_'."""". . <br /> ...... ..'/ .............".......... . .. <br /> � 3 ........ <br /> /�y...... ... O <br /> ./°�_.........................................................--_.---.......... <br /> C ''� � Superin[endent <br /> _--LQ "' �� �� --__�— <br /> LABOR AND MATERIAL IISE7) <br /> No. Size I <br /> i <br /> — —-- — <br /> ...................................._._.....�Lead Connection Complete <br /> ' ...................................................... Saddle ComPlete <br /> .......................f t.........................._. .............................._..........----...........................P i p e <br /> .................................._..._........_... Service Codc <br /> ...................................................... Service Box <br /> _._ No. Ftours Lsbor..............................................Cost................................................... <br /> Cutin....................Paveaicnt....................X........................ ........................54.Ft. <br /> � ....................X........................ �� <br /> ........................ <br /> ....................X........................ .. <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ---- <br /> 7btal .......................59.Ft. <br /> — ----------- <br /> Remarks............................................................................................................ <br /> ...................................._.................._.........................._.............................. <br /> .................................................................... .............................................. ...... <br /> O[der Rece'ved.......................................................................................... .. <br /> \Vorlc Completed- ................................................................................._.. <br /> Foreman <br /> _ �� <br />