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w. o. roaw��•/�O � �-�� - . <br /> ✓�� <br /> � EITY OF EV�RE-TT--Water Der�t. <br /> Application Na...:::.':. '.::.`.... Date........_......................_.....__.....19...... <br /> 7^.;»ll...............................inch water service pipe <br /> For ..._.... .___._�.r'..__,�.:................................_-............................................. <br /> On � " <br /> ....._.._...,-..s'-;_./� Stree. <br /> , <br /> _...............-�_..f.-.z..::::._,.............................. <br /> Lot._....................._......._..........._..._ -.... Block Nc................_................... <br /> Add;'tion . _..._.. <br /> ...................... _......... -_........................................... <br /> Remarks � ' <br /> ..:.__:.:.:::.✓:::.c�..�._'- ...............................................-........... : <br /> .................................................................................................................. <br /> ........ ............................................................................................................... <br /> .............. ..........._..........._......__..... ---..............................--................... <br /> _......._......_......_..........................._..........................................................._..._. <br /> Superintendent <br /> LAQDR A1D MATEf(IAL USEll <br /> No. ' S' c � <br /> ----- ........L <br /> —_ --- <br /> �_.. .� � �..��� .._.._ Lead Conr.ection Complete <br /> .................. ft..........._......._......I 5:ddle Comple[e <br /> ..................... . .......I .........__..__......_..._.......................................Pipe <br /> ._...._.................._...........__......... Service Cock <br /> ._. _....................I._......_................ Service Box <br /> .._.._...................I.__..................... . . <br /> ........_.....................--................... <br /> . ............................................................................................................... <br /> ._......_._.............I............_............I ._............................... <br /> No. Hours Lahor............__...._..............._......Cost...._.............................................. <br /> Cut in........._.___.Vavcment__._.._........%........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> ...................X........................ „ <br /> ........................ <br /> Total .................. Sq.Ft. <br /> --------.._-_---- �—-- <br /> - — <br /> P.e:n:.rks......__........................_................._.............._._.................................. <br /> ................................................................................... ' <br /> ........ ........................................ ...................................................................... <br /> OrderReccived_ ....._._ _......__ ........._..._._.... ..... .._.. _.... ....__............... <br /> \Vorlc Complc.od............. ......._. ._.............__._ _ . ....___........ . / <br /> - __.._..__.. .. <br /> Foreman <br /> � <br />� �. <br />