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��� � - - ��� <br /> e:�. nairr'.?w <br /> w.'o. ronrn � <br /> CiTY OF EVEF,ETT--Water Dept. <br /> _ _ _ . _, , <br /> Application Ato.:i..:.�.. - -. D.7a�te......�„-.::.::.:�......r..1..........19::.:! <br /> Install.....,.:/�:....::...._inch water service pipe <br /> For .._...._._.._j. .._��.....:s!�y-�s:::i..................................................... <br /> /�.� 7 �'r--f '�.................._........................... Street <br /> On ...........:.............�.......,......_�i.. . <br /> Lot......- - ---.........-...............-----......... B2ock No....-----........................... <br /> A�.Idition ...........-�--.......................................................................................... <br /> Remarks � � <br /> �(� �//, l/ <br /> ...S.c�G.p'fl� .r:!tis-N.K_.....F�.%.:...���...�.......... <br /> ��' r i <br /> ..................................................../........................................_............................... <br /> _�.:ticC�, � +L ................................... <br /> .._;.. ._.._...T'.�_..........................."'___.... <br /> .;.J(:. :•• ,2 ................."......................................................"""..... <br /> Y:�...��.� ... i> <br /> ; .,�...... ............ ....:..:..-.:%' -�� <br /> _._................_........ .................. ..... --..... C ...................��-... <br /> � , . S:iperintendEnt <br /> , � f:i.'cd <br /> LABOR AND iS1ATF.RIAL UStiD <br /> No. ' Size � — �'— <br /> —____— — <br /> ...................................................._ Lcad Connection Complete <br /> ...................................................... Siddle Complete <br /> :., .............._....._ft..................._...._. ._...._t:....::...'.t.:....:.......................__..............Pipe <br /> ..............................._.................... Scrvice�Cock <br /> ...................................................... Service Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Culin............_......Pavemenl..........._.......X........................ ........................Sq.Ft. <br /> - ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....._...._.......X......................_ �� <br /> ........................ <br /> Total .................... Sq.Ft. <br /> -- --------�--- --- <br /> , : <br /> , � <br /> Remar s.._........._............... .......c.:..:...._�.:...::....:..::.:......................... ....... <br /> .............................................:..........._................,.............................................. <br /> ..................................................'....::.:i::.:5.>.�..................................................... <br /> OrderReceived.._................................................................__............. ...... <br /> \Vork Completzd........................:...�.................... . ._...._. .... .._ ...'�-..... ... <br /> Farema \ <br /> �� <br />