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W.D.Fom�J IttV 71.10.3� • <br /> CITY OF EVEKB'1'r,,,Water Dept, <br /> APPlir.ation No. 0.�?J � � S�/ �_ l <br /> , ate _ 191...�.... <br /> 1� Install. , '� inch water service pipe <br /> For _!"T� <br /> _ <br /> w <br /> on . 1. � �. _ <br /> �..__....... ._ . 'LI.J . _........ Street <br /> Lot..........................._ Hlock o.__ ...... <br /> ............ <br /> _�1.-r. A. , -� 0 <br /> Addi tion............___....... a-„�«-�-a-�f <br /> ............... ............ <br /> _.._ _... . <br /> emar s.............................. <br /> _ __..... _..._.... <br /> .... ._. ....._................._..................... <br /> _. .._..__...----.__._................__............... . <br /> ....__.._......................................................... <br /> ...... ....._..................._..............__.._ _._........__ . <br /> .............___.. ._._..._... <br /> ... ..........._........_.... ............. <br /> - . C� ,�- /C�� <br /> ____�__ __ ___ Su�erl ndme � <br /> ___ __ LABOR ANll ilIA7ERIAt USED ' <br /> . ._N��. ----- -----�-- <br /> - _ Sfze -- - - --� - - - ... _ '. <br /> - � -— ------------ - - <br /> � ��`"�"""""" - �" Q!�"k:t�i Lend Connection Complete <br /> ...........�.... .I...-^a:.1�'..`. .. Snddle Complete <br /> � ......... <br /> ..........:z..........ft.,.__.�.".. .... .. l <br /> I � ., ..�..�i7.f.l.:vt`�......................... _Pipe <br /> .-......l.......... . ..... <br /> . .. .�.... .^r- ... .. . Servicn Cock <br /> ......../....�....... ' �,..a:�... <br /> ' �-' � Service Box <br /> ...........................I <br /> i._._..........._ . <br /> . . .. .._...... <br /> ...........................j__......__.. _..__..............................._.._....._.............. <br /> ....... ......... ... <br /> ....._ _.... ....... <br /> . .. ........ .. ... <br /> ................ .... ...... ............ ...... <br /> ...... . ..... <br /> �----- . _ ..... _ .._ _. <br /> . .-_ --------------- <br /> No. Ifours Labor............J_...... F nd -- --- . .. <br /> ...._.......__C os C:�::.:........._......_................_...... <br /> Cut in....._...................Ynvemeut........_._.......X..........._........... .. . <br /> __._..s�. r�. <br /> _..__.....s....................... . <br /> .................. . <br /> ...........x....................... ,. <br /> .............x....................._. ,. <br /> -__.- _ . - Total ....................Sq. 7'�. <br /> --- <br /> --__--- _—_ <br /> - --- - <br /> Remarks A";at�cia! �hp �,�:J O U. �--- -- .. <br /> / �..�, <br /> y ,� ._ _._. ... <br /> .. ._..Q'r r'�7 Y-..i G�L,XC .izL..i.:�ZZ E�r[.Lrt��_.. ... . <br /> _.__. .. � -'..............._. <br /> ....... .... , <br /> . ... ...... .. , <br /> Ordcr Rcccivcd _ - / <br /> _... � <br /> Work Complcred ' . �� � � <br /> �-�. �r' `��� �f-> <br /> . r,«�,.� <br /> 1 <br />