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s. d. rnaoc � � V / � (� ? 7 / <br />W. U. IONM <br />CITY OF EVr.RETT--Water Dept. <br />b� � � o�c � <br />,.F, <br />Applicalion No....l.�:�..�'..:�..1 Date ...............................................19...... <br />��tall .............. ...... inch � ater service pipe <br />� � <br />Fo: .... L�i:.. ... .. .. w�._.r ....................... <br />....... <br />" ,. _— ", t •�rl�i.r•"+;' <br />1 <br />�'� :..........::.r:...:::..:............................_ Strvet <br />On ............. ..................... ....... . <br />Lat...............................................� --........... Block No..................................... <br />�dclition ................................................................................ <br />.................. ...... <br />Pemarks.......................................................................................................... <br />................................ - <br />................................ ............ ........... Superintendent <br />LABOR AND MATERIAL USED <br />Size <br />. I Lcad Conncction Complete <br />............��.......��'I S:i3dle Completc <br />..................... . <br />.._...__ ..............._............ <br />.,_._,_, .. _........� Scrvicc Cock <br />...................... Scrvicc Boa <br />PiPe <br />No. Hours Labor.......__....._...._ ......................i os.................................................... <br />Cutin........... _.....FavemenL ...................X........................ ........................Sq. Ft. <br />....................X........................ ......._............... <br />,� <br />� /� (�� / .. ......X ........................ .. <br />...................... <br />............ <br />7 f% X ........................ .._..............._... ,� <br />L� .................... <br />Total ........................Sq. Fl. <br />- -- --- <br />_----- - ------- • <br />--_ <br />- 'A r�_�'�'..Y_ .............._..eTl..�'.P.i......................::............_. <br />P emaric,..... �. . _ <br />__._. _..__._ ..._............__ .........................__........... <br />............................. ........................... ........................................................ ......... <br />Order??ecciced .......................................................................................... ... <br />Nork Completed ........................................................................................... <br />Fomman <br />