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... o, ranrn���" D� ! (/ <br /> � "CITY OF EVEfi.E"IT--'�7(later Dept. <br /> Application No. .....:._ _ - .. Date...................'.:...... ............._.._19...:.. <br /> � Install inch water service pipe <br /> - ........,.... <br /> , <br /> � ........ <br /> • ., � <br /> , , . i ,. <br /> . , <br /> F�r _....�.......J:......:.._...:....:........,::.-.:.......�.................................................. <br /> On ......._�..�._:.:......:_c1._..........�-- :.....�.....:._::............................. Street <br /> Lot........................................ ............... B'.ock No..................................... <br /> A�ldition ......_...... �:.,................._......._....,......_............... <br /> ............. <br /> i : / <br /> Remarks .....................................:...!:...-'-.....:...:..._...�....�..._.:.:................... <br /> ........................................................................................................... <br /> ................................................................................................... <br /> _............_.......__................._......--- ............._.............---................................ <br /> :............................. .......................................................................... <br /> Superintendent <br /> LABOR AND MATRAiAL USED <br /> _Na _ L Size_ I _____ _ � <br /> I <br /> ............_..........._�........ Lead Conncction Complete <br /> _......._........ <br /> . _.._......._................................. Snddle Complele <br /> ......_..._......._.ft............................ ...._......_................................_........................Pipc <br /> ..._._._..................._...................... Scra�ice Cock <br /> .._........... <br /> ...._.... ......................... Sec':ice Box <br /> No. F?ours Laooc.........._.................._.............Cost.................................................... <br /> . <br /> Cut in....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> ._......._........X................_-.... ,� <br /> ........................ <br /> ....................X........................ „ <br /> � .__................... <br /> Total ........................Sq.Ft. <br /> _ '-------- - <br /> Remarks......._........................................................... --....._......---_........._... <br /> ..............._ ...._...._....-- ...................................................._....................... <br /> ...........................................y.................................................................................. <br /> OrderReceived ....:..................................._.................................................... <br /> \Vork Completed....................__._. .__._ .......... ._ ................_......_....... .. <br /> Foreman <br />, <br />