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w. o. roa.n���� � ' . . •'v ! <br /> CITY OF EVLREZT--��Vater Dept. <br /> , . ; � - <br /> . <br /> Appiication No.L..._:.'....�'�._. Date.........__......�....._�._...............19.._�.- <br /> _ 1�stall...............................inrh water servicr.pipe <br /> � � , <br /> 1�- <br /> For .........[.:�.......... .:..:....._..,�.:....---:.,:..,...... ............................................. <br /> On .._.....:.i.L::::.:_:'............:..11..::..��.:......._......._........................ Street <br /> � <br /> Lot.................................:.:�.... -.._...._- - Plock Na..................................... <br /> Addition .............................../.... ................................/.. ....---........................... <br /> Remarks ( ./ , `.>:.:.'---....1 f�=�s........................... <br /> ........._................................_.........__........_.... _.......- -_...................._...----- <br /> - .........................._... ......--.........._......_ --- .................................---... <br /> Superintendent <br /> 1L.:SOR AND Mh'TCRIAL USED <br /> Na. ' Size I <br /> ------ ----- � -- <br /> .................................. ..........__ ' ead Connection Complete <br /> ...........................I................. ........� Snddlc Completc <br /> .._...................ft............................'� ..............................._......_......_............_.......Pipc <br /> ���"Jice COC}: <br /> ......... ........_..........._..................., .. <br /> ............................_..............:......_.. .)0I�1C1' BOX <br /> No. How�s L�bor........................._.._.._...........Cost.................................................... <br /> Cutin.............._....FavemcnL........__.......X........................ ......................_Sq.Ft. <br /> .........._.._....X........................ �� <br /> ........................ <br /> ................._.X......_.............._ �� <br /> ........................ <br /> ....._..........._X................_..'_ �� <br /> ........................ <br /> Tolal ........_..............Sq.Ft. <br /> -------------------- <br /> Remarks................................................._..._.._................._........-�-...........__. <br /> _. ..._..........._...._.................._.............................................................................. <br /> OrderReceiced.............._........__........__...._..._............_................._....._..... <br /> \Vrn�k Complcted..._........ ..._ _..... .. _.._..._.____ ___ ... ._.__.._._...___. <br /> Foreman <br />( <br />