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w <br />CITY OF EVE,RETT--Water: Dept. <br />Jrr <br />Application No .................... . Date ... ---- <br />Install ... !;V.i/ ..... in,,h water service pipe <br />For1�1 A ....... . . .. ... ...... : ... .......... <br />............ Street <br />. . ........ <br />Or, ........... — <br />L Block No <br />Lot ............. ;,�,/ . .... 1� ............. <br />y; � ....... 4c.;Lv ...... . ............. <br />Addition ............................. .. & <br />Remarks....................... ........................ 42 .............................. . ... ............. . <br />.. ........ ... ....... C; .......................... .................................. ................................. . ... <br />..... . .... r............................................... <br />------------- ------- ---- <br />. ... ..... ........ . ..... <br />........ �perintendcnt <br />LABOR AND MATERIAL USED <br />No. Size I <br />-cad Connection Complete <br />Saddle, Complete <br />..40.W.!G4 ....................... ................. ......... Pipe <br />SeWiZe Cock <br />........ Service Box <br />.................. . ... / . .............. <br />........................... ............... . .......... ... ..... .................................. ....................................... .......................... <br />......................................................................................... <br />......................... .......................... ..... ...... .... <br />................ ...................... .w. <br />............................................. ............................... ............. .................... <br />......................................... <br />. .................................................................. <br />.................... . . ... ................... <br />No. pours Labor ........................................ ..... Cost ............................................ ...... <br />Sq. Ft. <br />Cut in ..................paven tent .................... X ........... . ................. <br />.. <br />.................... X ........................ ....................... <br />Ut caj X ........................ ... .................... <br />................ X ........................ ........................ <br />Total ........................Sq. Ft. <br />Remarks....................................... ........... .. ................. <br />....................................... ............... .................... <br />........................................ ............. 3_,.itx.Le� ................................................. <br />OrderReceived ............... ............................................................................... <br />Worl. Completed_a.-.;L/_7S'--7 ............. ........ <br />Foreman <br />