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M. O. lORMa �� � / ' • <br />- -CIT'Y OF EV�RE�i I'--Water <br />Dept. <br />Application No..�.: � :...��..�� Date.......... �1....:...� ......................19.. (' .J <br />'� 7nstall ::. ......................... .inf h water service pipe <br />For ..c�r:'1:t::.......... � (..`:::... -z.:.z: e:�../� � ...................................... <br />�.^-+� /.�'j ,� <br />On ...........!...."'..�.:...� .............(„_!_s:,:..r.�.�.::t��t .................. Street <br />..- <br />Lot............................................................. Block Nu.................................... <br />Addii�n ........................_......................._�c.................... <br />. .......................... <br />Remarks .................. :���:..,•.���r_'^,:l«;: <br />.................................................... <br />.................... ....................................................................................................... <br />3. .,'.......C...`�` t ......................... <br />�''i . ................................_........._....................._... <br />T <br />......... ...�..' ... ...(, .................... <br />. ............................................. <br />...................""'.. <br />/�— :— 7 ' Superintendent <br />LABOR AhD MATERIAL IISED <br />No. i Size I � <br />.....-_.........I I.ead Conn _:fion Complete <br />.......... _......� Saddle Con.piete <br />. ................ .................... . <br />. .............................. <br />���-��........... Servicc Cock <br />�������........... Scrvice Box <br />� <br />No. Hours I.;�bor ..............................................Cost................................ <br />.................... <br />Cutin ....................Pavcmenl....................X........................ ........................Sq. Ft. <br />....................X........................ ........................ �� <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />--- — ------- <br />Remarks ............. - -- _ - <br />� <br />........................................................................... <br />Order Receiced ......................................_......... <br />IVork Completed ..............................--............ <br />.............................. <br />� <br />.............................................. <br />____...._ ..._.....' .. ............ .. <br />Foreman <br />