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w. o. run�/�"�'a 9 , _ l _- � / , . . .. - <br /> CITY OF F.VEF.ETT--Water Dept. <br /> Application No.�.�2..:.?..:: ..! Date..............:�......' ....................19...�.' .:� <br /> Install...............................inc� water service pipe <br /> �,. . . , � i. .-. <br /> . . <br /> For ........:._:.,. ,t .� ...,��:..:,�.:........_4.:.....:.�:;.c._�:.::.�:..:::............................ <br /> ..._.._.:....... , . <br /> � � �' �� / S�� / 1 <br /> i)n ...............�:.:._-:.:..�............._...........C.:�:..t:::..,,.:.r.::..::................ Street <br /> Lot.............................................................. Block No..................................... <br /> :lrlclition .......................................................................................................... <br /> Remarks .......................................rr............ ..............<................................ <br /> / -'- . <br /> ; ,:: <br /> , ,.. <br /> .......................................................L... .....n.�....:.w:.:....i...,i.l.n........................ <br /> r <br /> ..................................................................................................................... <br /> ...........................................................................................................�-�-�-- <br /> ....................................................... ........... ................._................ <br /> Superintendent <br /> LAROft A\D 11fA'fGRIAL USED <br /> _No.___�Sixe __�_____..__ —_____ <br /> ........................................__... <br /> ...� L;;��d Connection Complete <br /> . _.................................................' :ia'.dle Ccmplete <br /> ........... .........ft...._...._..._........... ........_................._..-'---................._........_.......Pipc <br /> .....................................__........_.. Scrvicc Cock <br /> ._........................_..............,........�, Servic�e Hux <br /> No. I?ours Lvbor.._..._...._......................_.......CosL.................._............................_. <br /> Cutin_ . ._......_._Favemcnf_..................X......._............... ........................Sq.Ft. <br /> ....................X............. ........ �� <br /> . ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ �� <br /> Total ......................Sq.Ft. <br /> --- Remarks.. .... ..--- --- -- — <br /> _...... ._..... .._............_..............................._........ _.._._.................. <br /> ..........._.. .........._.................................................... ._ ... .......................... <br /> Ordcr �tecciecd __...._............................. ........_.....................__........._...... <br /> ���ick Completed... ..._.............__...... ..._. ................_.........._...........__.... <br /> Forenan <br />