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-�S�¢ c^� . = , . ,'. <br />�W. b, fOR <br />. _ CITY OF EVLRE-TT--�Uater Dept. <br />Application NoI. �..�::Z.i.. Date.........�.!_.....I ........................_19.L_:,�, <br />>, �stall ........ .. ...................i h water service pipe <br />For ..........G.C.�...e�......._...�:��t::..�::.:.:.�'�: <br />. 4.... <br />/ . . . ...... ...... <br />..; �,�.. l c.:Y:<.r.E....... e..�.....c.�.. . Street <br />On ..._.....�%�:.�.c.a_J.....:,�L .-... / , . .................. <br />C <br />Lot............ .................... .......................... Block No. �J.............................. <br />Adclition......................................................................................................... <br />Remarks ................................. . . . . . . ...� <br />. .. . ........ . . ......................................... <br />_ ._ ..................._................1_. .�..�.�x:_,_.�.:<:,:::........................---.-.... <br />..............._ .. ......................._.............. - - - <br />_ . . .......... ............................................................................................................ <br />� <<:�_. <br />............................. ............................................................................. <br />�/._ r _ jr� Superintendent <br />_'— i <br />LABOR AND MATERIAL USED <br />No. i Size I <br />................. <br />Lend Connection Complete <br />Saddle Completc <br />....__....._ ............... ..................... <br />Servicc Cock <br />Ser�icc Box <br />......... _ ......................................... <br />..... _ ..... _ ....................................... <br />.._...__.........._ ............................. <br />No. lium�s L�bor .... .............._....................Cost.................................................... <br />Cutin.....___....__.Pavc:uc:v...._ ..............X........................ ........................Sq.FI. <br />....................X........................ ........................ �� <br />....................X........................ �� <br />........................ <br />.._ ................X..._................... „ <br />........................ <br />--__.— _ _. _. ___. <br />Total ... ...................Sq. Ft. <br />__ _ <br />Rentark.;...._....___.__...... -- <br />.......................................... <br />Order ??ecciced...._.... <br />l�brk Campleted........ <br />..................................................................... <br />............................................... .................... <br />.................... ....._ _.................................. <br />Foreman <br />� <br />