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•o. ronw5 �� / � .. , <br /> � �ITY OF EVEgE'TT--`X�ater Dept. <br /> Application No.!.....:.:.:.:.....:... Date.............�.......:�..........................19...... � <br /> Install..................... <br /> _.ir�ch water service pipe <br /> For � � . . -r f........... <br /> .................................. . <br /> ._....: ....1.:.........._...............:.....%..::..:. . <br /> i <br /> ) <br /> On ...........:.!._ ..:...::.......:,�.(...,1�_:...: :....__�.:. :.,:.:......_.::::_..: Strce <br /> Lot...............................................��............ Block No..................................... <br /> .................................................. <br /> �ddition -" • <br /> .... ....... <br /> ............. j� ( <br /> . <br /> . � ..�.�.:........................ <br /> Rcmarks � -"r""""' <br /> ......,._...._......... <br /> ............................... <br /> ................................................ ................. <br /> _ ........._.. .........................................._............ <br /> ..............................._......... <br /> ._............._.... _.... ...._.......... <br /> """""'""""�"�������� �� Superintendent <br /> I.AAOR— A— N�MAT�R'�AL V5�___�--�_ <br /> No. ' Sizc ( _ _ ____—.--- — <br /> --'—_�----- <br /> ---- I <br /> ._� ;,c,id C�innection Comp c e <br /> ._......................_............... i Saddlc ComPlcle <br /> ._................................. <br /> ................_� <br /> ......�...............ft...........................1 ".... <br /> ..._.___...__.... <br /> ..........._............................ � <br /> 5crvicc Cock <br /> . ,,,..... Scr�icc IIux <br /> ........................... ... _ <br /> _.................._......_...............Cost........................................._........ <br /> Nr. Huurs 1.�6or Y....._................. ........................59.Ft. <br /> 6rt in__......_. .....]'avemcnt...__..__........ , <br /> • . ....X........................ ........................ <br /> ..._._. . X........................ ......._............... .� <br /> .........__..... ., <br /> ...................X.._................_.. ............._......... <br /> Total � "�q'r�" <br /> ---'– <br /> �---------_. _ <br /> ........... <br /> . ........................ <br /> Re�n a rks................. <br /> ....................................................... . <br /> ....................................... <br /> .................................................................................................................. <br /> OrderReceiced _...........__._...._............................._........................... ..... <br /> _..____.._. ............ <br /> _. <br /> \Gorl� Camplcled._._.._____....__..._..__._......... . Foreman <br />