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� <br /> w. o. roa��� � � // y <br /> � CITY OF EVE£ZEiT--Water Dept. <br /> Applicat.ion No.:...:...r:_..:.. .::. Date....................::�.....:...................19...`... - <br /> �/- ?nstalL.*................_..._..inch w•ater service pipe <br /> F�r, ;-�, . � i • � <br /> _.__,...._........... ........:. � . <br /> ........:......................._............_..........• .............. <br /> .� _ . : <br /> On .............�....1...:....::..................::.....:........'.....:- --....................... Street <br /> Lot.. ....... .............................:.............. Block No..................................... <br /> ^ddition ..._..............._.....__ ... <br /> ......_ ...... ................ <br /> Remarks ........ ......_.........�.I..:...._._:......:..:...�...:................................. <br /> ...................................................................................................................... <br /> ....................................................... ...................................................... <br /> ................................................ � ..................................................... .............. <br /> ...................................... ........................ ..................................... .............. <br /> Superinten3ent <br /> I.ABOR AND MATERIAL USF.D <br /> No. ' Size ! <br /> —.__ r------- — — <br /> .............................................__ __ Lcad Connection Complr.te <br /> .. ...._..........._ft........................._ ' Saddlc Complete <br /> ..._..._.........._ _..I ..........._..................._...................._...............Pipe <br /> .................................................... Scrvice Cock <br /> .........................................._.......... Service Box <br /> ..................................................... . . . . . <br /> ............................................ ....... <br /> Vo. Hours L�bor..............................................Cost.................................................... <br /> Cut in........._........Pavemcnt....................X._............_...._. <br /> ........................Sq.P't. <br /> ....................X........................ �� <br /> ................'....... <br /> ....................X........................ �� <br /> ........................ <br /> ..._..............X........_.............. �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —__--'._____.__—____.—__ _ <br /> — ____ <br /> F.emarks....._.._ ._................._..... ..__.................... ............................._.......... <br /> __.._.................................................................................................... <br /> _.............._.... ..................................................................--...............................:.. <br /> Order !Zeceiced..................._..._.........._...._................._...................._....._ [ <br /> \Vark Completed.................._..... ._._.... ...._....._ . ..._ ..._...._............... <br /> Foreman <br />