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ti J.PrieL.�M'1.46:�/ �� � <br />W. U. Farm ) <br />CITY OF EVE,RETI'--Water Dept. <br />Application No..../ .:............... Date....--"--..::._........_...................1�J...... <br />Install......:�:f..........;_...inch watei service pipe <br />� <br />, .. .. <br />Fo: .. _ ..............:-- ... ...........:.... _.................. _.--� -.../........................ . .. . . <br />� .... � ....:......... Street <br />, � %i ..............:.._...................:......._........ <br />On ......:............. � , <br />Lot............................................................. Block No....- .......--.................... <br />Addition ....... ' � <br />.... .................... .................................................................... <br />Remarks.........�,��i ...........:..:.. .........:.............�..- ..i...........�_..::.::........::....: <br />/ <br />' � � J ...........................�.................._(..........................." <br />.. � <br />�...........,._ : ............:..:....:,.........-- ....................... <br />f r;. <br />% � % � ..:._:....-- � --�.... <br />............ <br />:.l <br />� � / <br />,� , <br />' No. I Size <br />- , � <br />LAEtOE. AND MATERIAL USED <br />.. i f.cad Connection Complele <br />.. I Saddlc ComPlete <br />..... ................................................................... <br />,. Scrvicc Cock <br />.. Scrvicc Box <br />IQo. Ifours LnUor ........................................... <br />Cut in_........._.......Paremant...._ ..............X. <br />....................n........................ ........................ <br />Tatal .......................SQ. Ft. <br />.. _._ .................... _. ..__-------. <br />OrderReccived ............................................................................................... <br />\\'ork Completed......._ ............._._..........._............_......__._............_........_... <br />Foreman <br />