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J �' ��_� <br />/ 4l� ;.� ✓ <br />w. o. r[�'t?� / � <br />CITY OF EV EREfiT--W ater Dept. <br />Application No.1..�t.:C.t..�.'. Dat,� .............r�._, .1.....................19_�.'•`✓ <br />In�ttall ....................,..........inch water service pipe <br />.�! ' ,; , �� '. ��. .,..._. ............. <br />. � c:. ;,::..:'........ ..rJ..�L.��_•. `....' ..:......................... <br />FOI' .........LL{....._.. .._. .: i J�.. <br />--� " 3 .................<<�.:.1..z:..,�r.:�.................._ Street <br />On ................ �...._c../..... <br />.. <br />Lot............................................................ Black No..................................... <br />�ddition .......................................................................................................... <br />Remarks....................................:......................,_ Jc.................................. <br />/ . ................. <br />.................................................4.� , . <br />t.:.., :.:..;�<:... � r.r..� :.::.......... . <br />................ .... <br />_ ....................._ ..-- - <br />......................... <br />. ................................................. SuPerintendent <br />.. .......................................... . <br />�--- <br />LpgOR AND MATEAIAL USED <br />.............I Lead Connection Complete <br />...................... <br />gaddlc Complelc <br />. . . . ........... <br />....................... . ........._. .... . .. . <br />,,,,,,,,,,,,,, ScrviccCock <br />.. ........ Ser: icc Box <br />.................................. <br />_.._ ................... i <br />_.__ <br />..._ ...... ....................._......................................... <br />No :Cours Labor._ ............................................,.,_....___. <br />............. <br />.......... <br />........................59. Ft. <br />Culin_...._.....__...Pavemen _ .............._. Y_...................... ................._..... ,� <br />................. ... ,� <br />........................ <br />.................... ........................ �� <br />........................ <br />..... .................. <br />.................... T o t a l <br />................ <br />......59. Fl. <br />—=� -- <br />--'-------�_ —�— <br />;.._ ..__ .............._...................................... <br />. e m a r ks ............................................ <br />... ......................................................... <br />.... . <br />Order Receiced .. .............................._....._....... <br />............................ .............. <br />_. <br />, .....___....._..Fore...an <br />\�ork Complete .............................. <br />... _....... ..... _ .. <br />