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w. o. roav <br /> /,�'�' � •'�' ,�; . . " <br /> C;ITY OF E VERE IT--�Xlater De�pt. <br /> Application Ne..�.l ,.r'..t�/L�Date......................5:...:../-........._..19....L- •� <br /> ,-'�� Instal/l..__...._...._.............indi water servi_e pipe <br /> F'�r ` � !/.�l.cc:< . <br /> , ... .. . ... ( ... . <br /> ...._ ,.... ........ . <br /> �' --....... ... ...----..... <br /> on ............. ./...`./..l..s:....._...c:r.}=t�:¢.1..�,..r�......._.................... Street <br /> I,ot............................... ............................. Block Na............-• .................. <br /> n�id'u:on ............................. ...�.... . -�- . <br /> Re;..,rk:: ...............................C.��..2L:z�•,;1::..i_.L._.�1.�:'............._........._ <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> .......__........................._......._-`-................_...._................................................-- <br /> ._........_.............__.............. ......._.................................._............................._...... <br /> Superintendent <br /> � LAL�OR A:VD MATERIAL USED <br /> Na. Size --" -� <br /> _—._�_....... .1. ... .... ._r_—.______ _—_ —._ <br /> ....__....... . . . . ..._... . I Lend Cm:rection Co:npleta <br /> ........................_............................' S:adle Complci^ <br /> .......................ft............................ ...___.............._..._.........._..._._..__..............Pipc <br /> .................._................................. Scrvicc Cock <br /> .............._............................,......... Service Boa <br /> No. Hours LaUor............._............._................Cost...__.................---..................---.... <br /> Cutin..........._...__Pavement.......__._......X......_............... ........................Sq.Ft. <br /> ...........___...X........................ �, <br /> ......._............... <br /> ...._..............X............_.... .... �� <br /> .................__ .. <br /> _.............._..X....................... _...................... �� <br /> Total .._....................Sq.Fl. <br /> ---------------------- �— <br /> Re�narks_........... ..................._..........._......_............ -- <br /> _................. .._..........................................__................. ..__......................... .. <br /> _..........................._...._..................................... -............................................ <br /> Order !Zeccioed.. ..........__ -._... .... ......._...................... ......_...._................... <br /> 1VorY. Completed..........._._....._ _.........._ _..__ .._ ... . .. .. ... ......_......... a <br /> I'areman � <br />