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w. O.r MIH ���I �� i 1- � i v`� <br /> � CITY OF EVLR� � � --vciater Dept. <br /> APP�ication No.f�.1�.t7:,r.,:.•. Date.........._f._...1 � -: <br /> ........................19.....:=,� <br /> Install. ........ inch water service pipe <br /> , . <br /> �.............. <br /> For ......l�.t.�.�s.^.-.:,rJ...... :..:....i.._.n.:.:..�..:n........'..............................-- <br /> On .......�../..C1..,S.._�......_��.:_.s:.-ri..r.:r.<<.::'......... <br /> ......................... Street <br /> Lot............................................�................. Block No..........---........................ <br /> Adclition ........................................................................................ <br /> ................. <br /> Remarks ........................../..._..........................�..'............................................ <br /> ..........................................L:.:��z;::��:�!_�:�.��z.k:............................. <br /> ........................................................................................................................... <br /> ............................................................................................................................. <br /> ......................................................................................................... .............. <br /> Superintendent <br /> LABOR AIVD MATEftIAL IISED <br /> _No. ' Size I <br /> -���-�-- I T end Corncction Complete <br /> .......................................... � <br />� ...................................................... Saddlc Completc <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Scrvicc Cock <br /> ...................................................... Scrvicc Box <br /> ........................ <br /> No. Hours Labor..............................................Co�t.................................................... <br /> Cutin....................P2vement....................X........................ ..................Sq.Ft. <br /> ...... <br /> ....................X........................ ,� <br /> ......._............... <br /> ....................a........................ ........................ �� <br /> ....................X........................ „ <br /> ........................ <br /> _ Totnl ........................Sq.Ft. <br /> ---- � -------- <br /> Remarks................................................................................ <br /> ............................ <br /> ......................................................................................................................... <br /> I' ......................................................................._............ . <br /> ................................ <br /> OrderReceiced......................................................................................... <br />� ... <br />� \Vark Completed................................................................... <br /> ........ .... ....... <br /> Foreman <br />' - ' - - - - - . . _ � <br />