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; <br /> � <br />( <br /> /�/ ✓ :� rr <br /> w. c runr+ o <br /> � �CITY OF EVE�F7T--Water Dept. <br /> Application DTo.._:....::'..::.:,�._: Date. ...... .... �---.'.............. ......19...__. <br /> , Install............................. .inch water sereice pipe <br /> : <br /> For ,' - <br /> -��' <br /> ......._,�...__..:............. ....c...:.:...:..:.......c_�...:................._....................... <br /> On ........_.::..:�._::./...........:.%_>....._�_..:..:.................._.... ....... Street <br /> Lot......................._.............._.__................_ Block No......................--........- <br /> Addition ....................................:..........._......................................................- <br /> / i <br /> Remarks ...........-................L..::............:.:.- --:i...::. `- .............--�---......... <br /> --...................---_.................. .............- ..........................._ ................. <br /> _......._.._............................._._.................._ ................. -................................ <br /> __.... ._........_................................- --............__............_.......... - ......_.......... <br /> __....................................- -......--...._ ..................._................_...................... <br /> Superintendent <br /> LABOR AND 1VIATliRIAL USED <br /> ._..N°___, Size I ____. <br /> ........._............ �......... ....._..... i T..ead Conncetion Complete <br /> � Saddlc Complelz <br /> ..........................�........................... <br /> ...................__ft.�.._....................... ......_......_..............................................--.....PiPe <br /> _.................._.....;_..............._....... �ervice Cock <br /> ._.................._..._......................... Scrvice Box <br /> No. I{ours Labor.........................._..................Cost.................................................... <br /> Cutin....................Pavemcnt__....._.........X.........._............ ................._.....Sq.Ft. <br /> ................._.X_................_-- �� <br /> ........................ <br /> ....................X................_...... ,� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----- � --- — <br /> Re m a r ks............... .................................................................... ............... <br /> .......................................................................................................................... <br /> ........................................................................................................................ <br /> OrderReceiced............... .............._......._......._.......................... _.............. <br /> \Vorl. Completed.............................. _...__......_... .._... .. __.... _.__._........_. <br /> Foreman <br /> � <br />