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,�.�''4 Z g . _ _ _ _�-� �--�� :: <br />w, o.-ron i ..��G'..7 <br />�CITY OF EVE�E�"f--Water Dept. <br />-. ;-�y /. <br />AFplication No..�-i::{fc�� Date ..................._cS.`.....1..............19.. ( ` � <br />1�• j . ch water service pipe <br />i/1 —%..._......... <br />� Insta j....__.......... <br />For ._-:J7'� _ .:...........�%iC�.,.�;,.:_....:r. . ......_m................._..................... <br />� — } - . <br />On;�:._.c_�i ...�7....:....:(..,..�i.:s _: c. � �.. �...<�,:.r ................. Street <br />......... <br />Lot.......................................................... . I31ock No.!�................................ <br />Addition........_... ........_ ................_ _._....................................._......... <br />Remarks................... ......._........................................................................ <br />_... ..................... ................C.C.�.4_.,:.. :..� � �..::.;:..........._..............----�-� <br />........................ .................................................................................................. <br />.; ,, <br />�;t_.....��.,.,�,......__ ... . - ......................._............................ <br />........................... <br />� Superintendr.nt <br />�l - .`. .. -�.. . <br />LABOR AND MA'CEBiAL USED <br />No. i Size <br />..................I Lcad Cnnnection Complete <br />......._......._. Saddle Complete <br />................... ........................................................................Pipe <br />................_ Service Cock <br />.................. Servicc Bax <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin..........._..__.Favemcnl.........._........X ........................ ........................Sq.FI. <br />.........X ....................... �� <br />........... ........................ <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />__—T..__.______ ___—___ — <br />Re�na rks . ................................................... . ............................................. <br />.................................. <br />Order heccived...._......... <br />\Vork Complcted........_ <br />. ___.........._._......_ ............................. <br />...... . ....................................................... <br />. ... � .............................. ........�`.�...... .. <br />Forcr�an <br />