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� �ss�o - - � = _ . <br /> w. o. roWr+ <br /> - CITY OF EVEkN'1-T--Water Dept. <br /> , . , <br /> � - . .........is..f:: _' <br /> ApplicationNo..l.:::'....:_..._�; Date....._......:..........�.... ...... <br /> ; <br /> I:istall.........,.-..-....�:---..inch water service pipe <br /> ; , _, � , ................................. <br /> ,, :5........ <br /> �•or ............<<:...............:......:_....... <br /> ....i............... <br /> :�.'....` . , .' ` , . , ,. <br /> / .......�.1_i..::.:_..�...:_........ Street <br /> �� .(...`:..�J:-: L . I..c... <br /> n ............... <br /> ............... . <br /> Lot........................................................... . Block No..................................... <br /> Addition .................................................. <br /> .................................................... .. <br /> Rcmarks - . .............._............................._-• <br /> ............................._�^� <br /> ... ......... <br /> L..�.:..:....:..:�::..7�:,�........................---.. <br /> .................................................... <br /> .......... ............................................................................ <br /> ....................................................... .................................. <br /> ............................................................................. <br /> ........................ .................... SuPcrint�ndent <br /> s=_— ---_—_ <br /> LABOR A�D MATERIAL USED <br /> -- _1� i Sizc I -------.— <br /> —_ —r__ <br /> - I Lcod Cnr.neetion CoiaNl-.le <br /> ....�...................... . <br /> ........... ... � <br /> Saddlc Completc <br /> .......... ... ................................. .............PiFc <br /> .................... ........... <br /> .........il............................ ..................... <br /> ......... . ' <br /> , Sc�oicc Cock <br /> ................ <br /> __............................. <br /> .......................... Ser:'icc Box <br /> ........................ __ <br /> . <br /> Vu. How�s LaUor.............................................. o, ............. <br /> ...........................S...F t. <br /> _.Pavent:nl....._...........X...................._.. ...................._.. q. <br /> Cul in.....__......_ �� <br /> _. ............ <br /> ...X........................ ......._............... <br /> ....__............%..........._........... ........................ <br /> �� <br /> .__..........._..X........................ ......._.......... <br /> ,� <br /> Total ......................_Sq.F t. <br /> _----'�-- - <br /> --- <br /> ..... . .... ................-............... <br /> ................... <br /> Remarks........................................... <br /> _. ........ ................_.............................................. <br /> .... .............................................................................. . . <br /> Order Received..........................._................... <br /> ......................................... <br /> ____ ..... ..._... <br /> _. .. <br /> \Vnrk Complete __................_..........._... .._.. Foreman <br />