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✓ <br />/�lg.,� - . .i19 �� <br />w o. rovMa ,_ <br />�' CITY rJF EVF;RE� T--Water Dept. <br />Application No.._��:?.� V.%;3. Date............_ 3..:._I ......................19..�^.`> <br />Tnstall ...............................inch water service pipe <br />For ...� .4�..�v..>.�� - �-...�:.._��..� 5.:,:�5.. � :..:............_........ <br />............. <br />O��GY�._.: �c 1�'�S:�.S'>.�-.�....1�.v �.�� �,�:�-......... Street <br />Lot.............................................................. Block 1vo......----�---......---.............. <br />Arldition.......................................................................................................... <br />Remarks ........_.5.1'..1)..1\E:A�\4.�:�_U��..-- ............................................._.. <br />.. ..................................... � ......................................................... <br />_.. .._ . ............... ....... ......._ - _ - - -- - -- <br />Superintendent <br />LPnOR AND MATERIAL USED <br />No. ; SiZ� <br />� ..........T <br />Lead Connection Complete <br />Saddle Compl=.le <br />._...._ ... ...................................... <br />Servi�r. Cock <br />Sec:ice 5rx <br />....__...___ ........ _ ................._. <br />...........�........_ ................i ............................................_..__.......... ............... <br />iVo. Hours Labor ..............................................Cnst......................... . ..................... <br />Cutin ....................PavetnenL...._........ ...X........................ ..._................._Sq.Ft. <br />...................X........................ �� <br />........................ <br />....._...._._....X ........................ ,� <br />. ...................... <br />....................X........................ „ <br />........................ <br />Total .._ ....................Sq. Ft. <br />-- ---'----- -- <br />Rema: ks ......................................................................... ........ .................... <br />_.._ .............. _............................................ _ _.............. ................---- <br />..................................................................... ...... ..................... ....................... <br />OrderReceived .................................................._..._...................................... ( <br />\l'ork Completed ........................................... _...... ....... _.._..........._......._ .. <br />Foreman <br />