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w. o..o.,, ,��"z � 7 - . <br />^ rCITY OF EVL�E�'I'--Water <br />, <br />,:!�%i ,S - <br />Dep�. <br />Applicntion No..f:J.� ..:�...�.7 Date......_tl.l:..� .........................19..L,%� <br />,�� � 7ns 11 ........... .. .. inch water service pipe <br />. �' ........... .. . <br />For ..�.�.:l.r's:..... .��:�.l.t�:::.t.�.:�... <br />- ... <br />_ . , <br />................. ....................... . . . <br />On ......._:,�'......_..��:'kM7......%.?«t!n...}. ��::t�....... :.��.z:.:.cxc�Street <br />Lot.................................................�--......... �lock No..................................... <br />Addition................................................. <br />. ........................................................ <br />Remarks..............................� ....................... <br />.. .................................• <br />�� <br />............................................_l: ,:2�:��t;.:::a..le.r.r. �:............_..........---............. <br />.............-- - - - <br />LABOR AND MATERIAL IISED <br />Nu. I Size i <br />Lcad Connection Complete <br />Saddle Complete <br />Superintendent <br />................................ P i p e <br />� <br />No. Aours Labor ..............................................Cost..........................._....................... <br />Cutin ...................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �, <br />....... _ ............... <br />...................X..........._............ �� <br />........................ <br />Total ........................Sq. Ft. <br />..---'----- <br />R:. marks ................................................................................... <br />.................... _ <br />Order Received ................. <br />\Vork Completed .............. <br />� .............�........ �.. / <br />t'oreman <br />