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. _ _ /9`-8 / o . - �'� .�' <br />w. o. ronr+ a <br />CITY OF EVF.RETT--Water Dept. <br />App'ication No.:�:;.i:-.i'./..4'.... Date.....�..�`.�: ' "�......._._19:::..r <br />............ <br />Install.........:��........._..inch water service pipe <br />�� ,, , j <br />� ,,. , _ • � . <br />. — _ , , <br />.... � , t..�.A.�... ..�..nh. �....w....'. �:......� l..'.�.� <br />F�i ..........._i.-.. .<,.-.. <br />.... ..................�. �_ <br />,t,�.-r.�.z� / <br />On ......: �....-=:l..c".......:..u�.:.::..::. :'... �;.:::-: ... Street <br />......................... <br />, „ , <br />Lol....................i...c................................ Block No.........-.:..:.................... <br />Addilion ...._....�:..t.F.d..L�_......,�'.u...�i_'.._ ...................................... <br />Pemarks�r�IA:C:I.�.��a�<ia..T•.i� .................................................... <br />............................................................................................................................. <br />� . <br />- � <br />. <br />. ' <br />_......:�...., _... .:. t :.:15/.e .:.................�%I..:..b:.i.n._.�i_f....�.......................................... <br />4 . <br />� ✓ <br />..:........ .......A � /.., .................................................................1 _.............. ............. <br />�� ......................_...........:.'-...p �..1='<.:.t.�c <br />_....... . <br />.........C.../f�.;..7.�.._ ............. Su erintendent' <br />� �= ; : . � <br />LABOR AND MATERIAL USED <br />.......... _`x.. u...f <br />....................%... <br />......._.......I Lead Connection Complele <br />............._.I Saddle Campletc <br />.:.............. ... ..'..;_(.:. �.................................. <br />'._...._..__ SCtVICC COCK <br />_.... _...... SCC':ICC BOX <br />No. Hours Labor_ ............._..._._..._.................CosL................................._................ <br />Cutin.....__.........Pavcr.�cnt__._ .............X........................ ........................Sq.FI. <br />�. , <br />. , -, i � . .: . � .._ ................ ........................ ........................ <br />, . . .� . <br />i C. <br />�. <br />; .. ..........__ ...... ........................ ........................ <br />.................... ........................ ........................ <br />�. <br />Total ........................Sq. Ft. <br />Remarks.._ ..............�..�.....:�c.,�..... `.u�.�_k�-ti..,._................._..�..............._.... <br />/' <br />� � <br />._ . .....__...__...__..._...(�%.... . .._....Q ._..r..r.:�..c'�.�-c...»........_._.._ ............._ <br />. . . .............................�t.... .r.. r :!::.`..`.^-........................................... .. <br />_..... <br />OrderP�ecciced ............................................................................................... <br />\Vnck Comp]cicd.�.'..�.�..'...G...c"............_.�1..�.�.:t.s...�.::(....._...�...... <br />Foremah <br />