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' '/'�9 / 6 � <br />w. o. ronw o ' . <br />CITY OF EVEiZ�TT , ' � �'�` ' <br />, Water Dept. <br />APPlicationNo.�;';/./.l.�6.?. DatA:::�'� ; %...�: (� 7� <br />, _ ...��., ............... . ---__.... <br />_ � .�.........inch <br />For ....................a..... � - <br />..:.r........ -l-&'.�:::: ' <br />n er serv� <br />... .... .. ., �. <br />On � � r �.� _ ............ ��+�iJ =�; I P�Pe - <br />- ---�` — - . ..........._...... � i ,' � <br />...........1.?...... � .. _ . ..,� . ......_.:..: � . I - <br />.. . ...... .......... . �_ <br />�� ' , : .....................:......... ........... Street <br />Lot.........._::.<. r'- ;: � ...::...:..... <br />.....:......1 ..:.......................... Block No............... <br />Additibn .........................._ ...................... <br />LABOR AND MATERIq gp Ep <br />No. ', o:-- ' <br />=.cad Connection Co <br />Saddlc Compiete mplete <br />� <br />..�.1C_:�,l..:iU.:E .................... . <br />.. ......................Pipe <br />Sery,i c•C�ock <br />Service Box <br />� <br />-- I - ...................... <br />......... <br />............................ ............................................. <br />No. Hours Labor ........................................ <br />. ..... C o s t ................. <br />Cat in ....................Pavement....................X................ ........... <br />............ ........... <br />' ' ........ � <br />� ...... <br />........................Sq. Ft. <br />= ........__ .. ........... <br />- l7 .�> -u-co� 1 X� ............ <br />......._ ............... �� <br />............. <br />....... ........... <br />............. �� <br />....................X........................ ........................ <br />�,.� �� <br />-----__._� Total <br />Retnarks... <br />Ft. <br />9 .� .................................................... <br />._ .............................�.. � � : <br />, <br />Y ....i.:Sv .:..b...f,t.C.l..::.l.tr.!;C,.,_ ................................... <br />................................ GX. <br />"'rY..l'S..CM .......................... <br />Order ?teccived........... . ........................................ <br />. ............... ......................................................... � <br />1Vork Completed.%..'-�.�-� � .......... / <br />..... .1 .............._.�..Scc:.;;.:: r.1:�__.... .. ` <br />Foreman � <br />