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w. o. �dRr.� .�� � � / J! /v <br />CITY OF E`VEFzETT--Water Dept. <br />. -, ,, -- � j -, <br />Applicat�on No..L.: 2..:,;�...L_S� Date....... c� ....:.................................19._�.,:, , <br />' Install .. . ..................... .inch tcater eervice pipe <br />/ ; � <br />Fec ..>i.._:r..r..:<r_�;�,.:._�...../_'.�'..:.1/r!�,�:c�..�l:....._ ...................:............. <br />On ........f.;�11......._,.:..�:�:c-r.cs-:...G..Y.1.�....��.,.1::.'...?�::.(..�Street <br />Lot.............................................................. Block No..................................... <br />Ad�iition ............................................................................................. .......... <br />Rcmarks............................r=i�-- ...................�:.......,.............................. <br />_ .............................................5....(:.1.:._, �C:� :<:r...�c.c:zi:�'...................---......... <br />_ .. _ _. _.......... _...... _.......... _ . ................................................................................. <br />Su, erintendent <br />LABOR AND MATERIAL DSED <br />No. j Size I <br />........................._� Lead Connection Comp!ete <br />...._� ...........................I <br />..................... Saddlc Complcle <br />.... _ _ ........ _ ....... <br />Scrvice Cock <br />Ser.icc IIox <br />...........................� ..........................� .................. <br />No. Hours Labor .............................................Cnst................................................... <br />Cutin ....................Pavcment....................X......._.... ......... ........................Sq.Ft. <br />....................X..................... .. .� <br />........................ <br />....................}:....................... �� <br />. ................ ....... <br />....................X........................ �� <br />. ...................... <br />Total ........................Sq. Ft. <br />----� �--�------ <br />Re� n a r k; ............................................................................................. .............. <br />........................................................................... <br />_ ........................................................_ - --... - <br />OrderRecei�•ed ......................................................................................... ... <br />\Vork Completed .......................__ __.... __..... __ _.__ ........._..._.._........ <br />Foreman <br />