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/ L- <br />. /�"'�d � � � ��,� ; �_ <br />w. o. ron � <br />� CI�['Y OF EV�RE i T--Water Dept. <br />Application no./S`/C'..`/... Date...........:�...:....� .......................19..�.� <br />- I�stali .............................. .i�ch water service pipe <br />1, i � <br />. -, <br />FOC (..! . S � � �...� <br />0 <br />...... ... -+: . G: y% ..............: . ...:1.-J....:..f.�C :.............. . <br />r .. . ................ <br />LO� ............... , ' .^ � - ' J � <br />"' %�,r s_.,;.s:.:....r::..:..:.c.�!............ Street <br />..................a...�..... ::... �:.:....�,...... _ � , <br />" ............................................ Block No......J........................... <br />^ddition ......................................................................................................... <br />licmarks........................................................................................................ <br />�:_.._ .............._.........................C..:�.:t.6.aC. °:..:Ld..�,:>.i._............................. <br />� , <br />��.... _ _ <_...: �^ ........................................................................................._"...... <br />s-.._...z.�_ <br />................ <br />I.ABOR AND MATERIAL USED <br />— --- <br />_... <br />Lcad Connection Con�.plete <br />......_. Saddlc Complcic <br />.........I .................................................... <br />........� Scrvicc Cock <br />........j Ser�ice Box <br />Superintendent <br />No. Hours Lsbor ..............................................C'ost.................................................... <br />Cutia ...................Favement_........_........X._.................... ....................._.S9.Ft. <br />...... .............. ........................ ........................ <br />�� <br />x ,� <br />.........X ........................ �� <br />.............. ......... <br />Tolal ........................Sq. Ft. <br />----- ----'---_----=r — <br />. , <br />Remarks....... �P1R /.n s � � //e d I ��.� y - ! ; �o <br />... . ............................. � ................ .. <br />.............................. <br />, . , <br />..�.':!•.�:f...... s�;-i.-i r a.� {• �_r �la r.r c � <br />. _._ .................................. ........._...............................:.............. <br />......... ��.....-�......(. U .................. <br />Order!?�ccit•ed ............................_.........._................._................... ........... <br />�Vork Completed..._ .................._.................__................_..._.................... <br />Foreman <br />