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�. o. ronrl'a �� �� ��v <br /> -CITY OF EVE�ZE�I'--Water Dept. <br /> Application No...i....:.......... ..:: Pate..................:�........... <br /> � _-....._....19.._�� <br /> . <br /> Install........................_.....inch water =rvice pipe <br /> For _....___......:::..:.....i.:.'....... ./_:..._........:..:... . <br /> ....._._.............._........-----......._.... <br /> On ......_......:...:.:.::....::'.........._....:..::.. , <br /> .........c'_'..:....._ ....................... Street <br /> Lot..............._. _..._...................._......__....... E'lock No................ -..............--- <br /> Addition ..............__.........._._...._.........................._..:. <br /> . .. ..........__..._...._.._...... <br /> Remarks ...... -- ................_ � '" <br /> L.C...........:...... : <br /> .....:......:................................. <br /> ............................... ................................................................................. <br /> ...............................................�- .................................................................. <br /> .............................. ...................................... ................................... <br /> _._............_. ..........................................................................._..... -................ <br /> Superintendent <br /> LABOR AND M.]TEftIAL USED <br /> � No._ _'� Size � <br /> —____ <br /> ......- ...-.......-....I........................._ Lead Connwtion Completr <br /> ....................._............................_.� Saddle Complete <br /> ._.................._ft........................ .....__._........_._........___......._.......................Yipc <br /> � <br /> ....................................._............. orrvicc Cock <br /> ....._.................__......_................. Service Box <br /> No. Hours L�bor.._..........._......................._....Cost..............................._.........._...... <br /> Cutin................ ...I'avement...................:K..................._... .........._............Sy.Ft. <br /> ....................X........................ �� <br /> .............. ....... <br /> .._...._..._.....X....._..............._ �� <br /> ........................ <br /> ....................X........................ �� <br /> ..._................_. <br /> ----- ------- -..__.._._ <br /> Total ........................Sq.Ft. <br /> Remarks......... ................................................................................... -- <br /> _....... . <br /> .............. ........................................................................................................ <br /> ........................................................................................................................... <br /> OrderI;.eceiced.. ........................_..._............................................- ........... / <br /> \VorY Completed.........................................._....... . _.... j <br /> Foreman � <br />