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c <br />� <br />1 Sz �' �� ;�'�, <br />W. O. fORM ]� �� <br />• CITY OF EV�Rfi'I'T--Water Dept. <br />APplicationNo.i..::...'...:::...! Date ....................J.....:..,1..............19...G:•.,� <br />. tnstall ......... :.................. .inch wnter service pipe <br />i / � <br />For...!�......i�.�r...........f'.�..:_L.z....:�t:t:� :::...................�........................... <br />On _, . l , - : <br />! � %�L <br />.......c1...�t...,.�.a............t.l�:a.�a.«.a..�..� .............[.s-,.c...r../....... Street <br />J <br />Lot.. ........................................................... Block No......_...... --..................... <br />Adi�ition .......................................................................................................... <br />Remarks ...................................: ........................................... <br />� ....................... . . <br />. _ <br />, �. <br />.:... ' ......................... <br />....................................................,.....�::_.:::...::.�ll< -�1.:' ....... <br />...._.. _ .............................._. _ _...._..._.....____....__....__._. . . <br />Suprrintendent <br />LABI�R AND MATERIAL USED <br />:.rad Connection Cor.ipletc <br />Saddle Complelc <br />PiPe <br />....... Scrvicc Cock <br />.... Service Boz <br />No. Hours Labor.........._......_ ..........................Cost._..................................._............ <br />Cutin......__._._....Pavrment..._....._........X ........................ ......................_Sq.I�t. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />_ ..................X..._................._ �� <br />........................ <br />Total ........................Sq. Fl. <br />____ ._____._. ..... <br />P, e m a r ks ............... .. .. ................................................. _.................................... <br />......._ ............._........_...------------------------------..__._. _. <br />Ordcr2?ecei��ed ..................................._......_---............................................. _/ <br />\Vork. Camplr,ted ........................._.__..._............._......_......................... <br />Fareman <br />