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s d. r�ice[ a�� �� � � � . <br /> w. o. roww a / � / �- �� <br /> CITY OF EVF;RETI'-.V�later Dept. <br /> Application No...l..:�. (-�.. Date.. .----.. ... .. � /�-19.1..✓ <br /> _ �� . .................��--�-_.... <br /> � Install.............��. ,_,._,_�ch water service pipe <br /> / / / ' <br /> For ..........._...... .�.:i..4.......�l.ct.,`.�n/ ............._, <br /> �) j • . .............. <br /> On ...................:.....�.�..�........� C�_�r�,�/ .........:... Street <br /> ............ . ............................... <br /> Lot...........................�...��......................... B;ock No.........-�.1...L.� ......... <br /> Addition .................. <br /> . ..... . ...............................,p---.................... <br /> .................... <br /> Remarks ' <br /> .....'......x.� .'- .L.d r..c.i........ - C` �1-'� <br /> u-�..r...................:::..._......:.�:�,,.._. <br /> ....................._.. �,.� ; � - . <br /> ....r.-�L. � ` <br /> � �� . . � .. ... ....._� ............ ......... ...........•.-�-C-✓ <br /> (:�,e,_,�:. �._.. �, � . ..................._j�----.................. <br /> ............_t.... . � ..IjL. <br /> 1_.. '" .....................""".... <br /> . ' ' -;' <br /> ..; .r <br /> . .....................' ' � <br /> _.... ... . <br /> � . ......;�.I�.�. �..�---....._ .....- - <br /> " f <br /> ................:...........: r . <br /> � , � <br /> �,,,. . ...... ....�...................�:..................... ....._-T�" <br /> ` , .o ? � . ....�"....-7. r`%'Jl�, <br /> — / .� s�perintenaeni ' �'u <br /> ^ '�l <br /> 'LMO ND MATEft1AL II9ED <br /> No_ Size � <br /> .................................................... Lead Connection Complete <br /> � ......................._......... ................... Saddle Compkte <br /> .......................ft._......................... .................................................. <br /> ................._nipe <br /> ..................................................... Service Cock <br /> ...................................................... Service Box <br /> ..................................................... <br /> ........_..._... <br /> . ..........................................................................'-..................................... <br /> ........................."I.......................... ..................................... <br /> No. Haurs I,abor..............................................Cost........................ <br /> ........................... <br /> Cut in....................Pavement...................X......._............... <br /> ......._._............Sq.Ft. <br /> ....................X........................ �� <br /> ......._......_....... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tatal ........................Sq.Ft. <br /> -- -- <br /> � � -- <br /> --- <br /> Remarks. - '� ..- <br /> _..................:...__ 41.:..:.....--... <br /> , ...... <br /> , � .... ........... <br /> --....... <br /> ............... <br /> ................ --_.................................� ' � <br /> ..................................... <br /> 1.............�...4....... <br /> ......................................................................................�.. ...,�. <br /> ...................1...�_11 li_'.�:._�.........- <br /> Order P-,eceived..._............................_ �y.'.�...................... <br /> �Vor}_ Completed ...c...:.___:,.........:`... .,:. ,. ' � � <br /> ........ :................................... i <br /> Foreman / <br /> � <br />