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a x rnivs._ x n-� � �� ('// `,/ <br /> w. u. mcn� �� t • . <br /> CITY OF E.VLRETT--`'Uater Dept: <br /> J i )(�,i+: ) o�� /. ,: <br /> Application No......I.L.y.......f Datef...........:....:..........:.................I�J.�-.'�-, <br /> Install. . "/ °� .. inch waler service pipe <br /> -C� �........ ........ .. <br /> �., . /✓ /� .,��.�.. �.. . .. .. � ...---..... <br /> Fo����J1.�'.'../....._.�. �7 J � ,,/�/J <br /> , ........ .. ....... r... <br /> On .................. <br /> .�`�—��.......t:...���.C.:�.........:r.���..!"'•.....: Street <br /> l.ut........... - �� ... ..... <br /> ..... �.../. � •--... Block No......-......r..................... /� <br /> AdQilion .....U�lfs'--/�.. /!�!�?'.� �:�.... ��'.:..._�r-'..................... / <br /> (J •� �� :l % <br /> Remarlcs �,y;......✓..V.z>?:ZC:'.:c���....X2'!...�at:.G.�.._�''�y..................•- <br /> .... , � 1 <br /> . :, � ,,(,�..�.lG.:.1.�...G.K.J................ ....... .. . <br /> . _. ' .�.... ......."........ � <br /> � ..... .'i r'' <br /> ' .._ :,�3.. ..................t,�...--...'-........../,.'.... . . . . .'.:. <br /> ....._............ _ � G, {G...... .: <br /> . � � �., . <br /> , � <br /> . .... ,�. .. �..::.....�..................�.� :�.-..����. <br /> . . , :_. �� � � � <br /> _.._.... ....; :_...: . <br /> ,�.�..r , .. .......................:.......................... .�.-:"� <br /> .,� - �, ).f.�� Superintendent � <br /> _.. ,,, � C�- <br /> LABOR AI�D TSATERIAL USED <br /> No. � Size _ _ --- <br /> • —'---I I <br /> ...................................................... I.ead Connection ComPlete <br /> .......................... Saddlc Cemptcte <br /> ..................._....... __ , <br /> ........._. :.....it._._...._:_.(...._. " �......:..............._....__..........__.......__YiPc <br /> .... ............... <br /> ................._'...........;'/..t:.:............. Scrvice Cod: <br /> ....................�............ <br /> .................... Service 13ox <br /> N�. Hours L:��or............................................_(:ost.................................._................. <br /> Cutin...................PavemenL_......__.......X......._............... ......................_Sq.Ft. <br /> ....................X....................... ......._............... <br /> „ <br /> ....................X........................ ........................ <br /> ,� <br /> ...................X........................ ........................ <br /> „ <br /> Total ........................59.Ft. <br /> — �------------ . —� ----- <br /> _------ -- , .. „ ; <br /> ' „ "..'J:'i;;jl..........ii_'.:..i.....!.:l..L.::.......... <br /> Remarks................'!.:.i;... �......::..... <br /> , <br /> ...............<..�.,.�.,a..,.�....:,:.....;.::.:s..:;............__............................ <br /> � ,i �: .;, � .... ......................... <br /> _... <br /> Orderi cceived....................................__........._... .......... ............-- .. <br /> \Vor}_ Cmnpleted..:::.._....:......:::....................._. ....._......t::. ......_..... . <br /> Foreman <br />