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w. o. ro�i�� ��� � . . , �; <br />� �CITY CF E�.'ER�ZT--Water Dept. <br />Application No.::,.:. '..!:.�:::..•.::. Date.-----........./..... i.........._.--�---19._`..:" <br />Iastall ...............................i»ch water service p;pe <br />/ <br />P�r ..._.:.i .:..i..:._...._.:-`-' .......�...:_........:_1._.. ......�" - <br />.................................. <br />_.�— . i <br />On..._..._....r..:...L .............:...... ._:.............. Street <br />�' ..� ................�.........._..... <br />i <br />Lot........... � .. � ........................................ $lock :io.. � ...._...................... <br />Addition ................... -.................,.: <br />-- ......_ .............................................. <br />Remarks_ .............................._ �..�...:.:......' -.c..:..::.._�/.:_...................._.... <br />..................................... ................................................................................ <br />°uperintendent <br />LABOR AND hSATGRIAL USED <br />No. Size I <br />__—_ .'_—__.___._—. --_ ._— <br />_......._ .............._�.--._......._._..._...; Lcad Connection Complete <br />.........................................._........_. S.tddle Complete <br />_............ _.......ft ......................... _. ........................_........._........._....._........_........Pipe <br />_...._ .............................................. Scrvice Cock <br />..................................................... Se.rice Box <br />....................... ... .................... ..... <br />. ............................................................... ................................................ <br />...................................................... ................................................................................................................ <br />N��. Hours Labor._ ........................__...............Cost.._................................................ —. <br />Cutin.....__...........Pavemcnt ....................X...................._.. ......._...............Sq.Fi. <br />....................X........................ �� <br />........................ <br />...__....._......X ....................... �� <br />......... .............. <br />....................X....................... „ <br />........................ <br />Tot� I ........................Sq. Ft. <br />— _'._—_.________— :_ <br />—_ _ _ <br />Remarks...... . , _„_........- .................................................-...--......... <br />�%......... <br />...... <br />/•:: f r:�. e) � . <br />... ................ ...... �.................. ................................................ ............................ <br />__............/.��...-...�,�_ ..._�_� .............._............................................. <br />OrderReceived .......................__.........._..........................___....................... <br />1b'ork Comple.ed........._............ _.. __._.._....._._ . ..._._......._. _ .............._. � <br />Foreman <br />