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.,� �'�i,� ,; .i � . <br />�w. o. ronu <br />� I,ITY C�F EVE�E'�`I'--Vilater Dept. <br />Applicatioc No.� J�i ..�'.. Date.........0...�.:..� 19.C'.".� <br />...... <br />� Instal ..............._..._,._...inch water service pipe <br />For._.:.�:�.,�.:_......._�c.' x,...0 ......... ..........................._...; 1 <br />.i � / , .. <br />`... Stree <br />On ...........1.� .��.......... ...e: a.;1..:..(?.: �� + <br />........ <br />Lot............................... .............................. BIocY. No..................................... <br />^diiition ............................................ <br />............................................................. <br />licmarks.............................. ........_._... ...... .. . . . <br />Tf . . <br />.............................................. � "A:.i.���A.L�.X.�........................•.... .... <br />�• <br />_ <br />1 <br />j� i. , /. <br />.................................. <br />7-zo-Gb> <br />........................... <br />LABOR AND MATERIAL USED <br />Lead Conneclion Complete <br />Snddlc Completc <br />... ..................... <br />Sr,rvice Codc <br />Sr.rvice :7ox <br />No. Hom�s Labor_ ...................__......... <br />Cut in ....................Pavement............. <br />Superintendent <br />-...-- ............................ <br />........................Sq. Fl. <br />....................X......._............... „ <br />. ..... _ ............... <br />....................X........................ �� <br />........................ <br />....................7{........................ �, <br />........................ <br />Total........................Sq. Ft. <br />— �--'----- <br />_-- .. <br />Re m a rks ....................................................................................................�---..... <br />OrderReceived ............................................................................................ <br />\Vork. Completed..._........_......._ .......... _.....__...__......._....._._......_..... . <br />Forcinan <br />