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h� <br /> - - .� � r�S9e� _ � �� <br /> w. o, rooM � / �S� n " <br /> CITY QF E�'�ER�TT--Water Dept. <br /> „.��_�,�, , _ �� :.;. � ,; _ <br /> �pplieation-No.��.,:t.,_..._... Date. ................................_..........19...... <br /> '�s�all..... .... � . inch ater se vice pipe <br /> Foi , � �,........ . <br /> .. . 2:1�...........�.,�,L2'�.:��` ........... _ <br /> �� ' _................. <br /> On .....�!,...�'<'.�.1.:?....�;�G'..Zc!�'.Z�<.�-r.�'=..................... Street <br /> Lot............................................................. Block No.............---........._........... <br /> Addition .-...... ..............._....--.................---..........................................._....._ � <br /> Remarks .............._................... ' <br /> .................................................................... <br /> .............................................................. ....................................................... <br /> _......................................__........... --............. ....................--......._.......... >, <br /> .......... _............ .......................................................................................... <br /> ..................._........................._...........................- ......................--...--- <br /> Superir.tendent . <br /> LABOR AND hiATEQIAL USED <br /> No. I Sizc I <br /> —__ --r--- — <br /> ..................................................._� :.ead Cnnnection Complete . <br /> � Saddle Complete <br /> ................_................._................� <br /> ...._. ........ ft...... ..........._ _� ...Pipe <br /> ....__..... _. . ............ .... .. .... -.. <br /> ......_.............................. ._......... Servicc Cock . <br /> __.... ............. . ... . .... ..._... Set�iceBox <br /> ............. , <br /> ....._...................... . . . .. ............_. . <br /> _ ................................................................................................. <br /> ........................... .. . . .....� ........................................................_..... . . <br /> ................... <br /> I'............... . <br /> No. Aom�s Labor......__...................................Cost........................---..................._.._ .. . . <br /> Cut ia...................PavemenL................._X......................-- <br /> ........................Sq.Ft. <br /> ........__........X......................_ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> _._.. —. . —_._._____—� <br /> Total ........................Sq.Ft. <br /> it�marks................ .................................................. ................ — <br /> ................... <br /> ......_........_... .........._..................................................................................... <br /> ....................................................................................................................... <br /> OrderHeceived....................-..........._..................._................-- ................_ � <br /> �Vork Completed......................_...................._..... ._.............._..........._...... <br /> Forernan <br /> �� <br />