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s J.Pd«heiMba� � J � �� _ �- <br />W. L. Fonn D - • . <br />CITY OF EV RETT--Water Dept. <br />, , �_� . � <br />Applicalimi No..�L.:�..1.....�... Date .....:.....:......:..t...:......:..............19�. , <br />-- <br />�.. InsLa11.........4:... �� ...............inch c�ater service pipe, <br />_�- , . . — <br />r - — <br />, , .s <br />, _ . .. . � .. i �! <br />1 OI' .......:_.! ...'.`..� .:........:......:.:.:.... . %::.........:._..........._::..:........""""'......."'.... <br />O❑ ......'"�.L�..........'........�_:..........._1.:::::..""_ ......:.......................... StLBGC� <br />( <br />Lot........................................ ............. Block No................................-•--- <br />Addition .......( ..:................ <br />Remarks ..:............:.:...:..:.. <br />•---� ,� <br />� <br />.:�:..:..:.:. ,._� <br />.................... . ............................................. <br />r.......... .................... .::...................: . <br />,7 � . � o� :� l<.i, ., . - <br />, _ <br />.... ./ .................:.. :...............................................�........._........................................ <br />/ . �.i . n <br />.,<'...,... ._. <br />t� //IJ�, ^ . , /�;... <br />Y <br />//� :y, <br />� - � <br />.[...... . ,s . <br />� ..::........ . .............................. / .......... � <br />.�....... f <br />. .'���� � . ; �uperitttc <br />LABOR AND n[ATERiAL USED <br />. i Le:id Cannection Complete <br />.. � Saddlc Complelc <br />..... ........_..................................................__._._.Pipc <br />.. Scrvicc Cock <br />.. Scrvicc Box <br />No. I?ours Labor .............................. <br />Cut in ....................Pavemen[........... <br />.................... Y.............. <br />........................Sq. Ft. <br />........................ „ <br />....................X........................ ,� <br />........................ <br />. Total ........................Sq. Fl. <br />----- — — � ---- — <br />Remar]:s ... ......................................................................................................... <br />............... .. - -- - <br />........................................................................................................... ........... <br />OrderReceived ...................................................................................:......... <br />, ` �, .. •, <br />\10� k Completed........._. ��......5..... S � .........................:.......................... .. <br />Foreman <br />