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w. o. ror�/a��/ V O _/�_=�,r"� <br />_ - �ITY OF EV�RE'IT--Water Dept. ��� <br />Alication ATo1�.,'.1..:� - � J^ �....._............19._�,=� <br />PB .�-�. Date .............s............. <br />� I�stall ...............................inch water service pipe <br />.. / i7 <br />` � - <br />For �:.�-..:.. �_1.........._/...tf.t�i..Zc.cr.::t..:rC ............................................ <br />On ._.,a.�.._�;'..:,� �!.......��:.r.:-ar�.i.w�;,: :................................... Street <br />r <br />Lot..._ ......................................................... Block No........................---�--- � <br />Addition <br />Remarks...................................,.............................._....................................... <br />i - <br />, .- -'.; , . <br />...._ .....................................C.� � ,,_ ��. .�_:... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size I <br />Lcad Connection Complete <br />Saddle Complete <br />5crvice Cock <br />Ser:ice Box <br />No. }:ours L�bor ..............................................Cost.................................................... <br />Culin ....................Yavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />v �� <br />Total ........................Sq. Ft. <br />------------- <br />Rem arks ............................................................................................................. <br />Order??eceiced .............................................................................................. <br />\Vork Camplcted .......................................................................................... <br />Foreman <br />