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l'J�U.Fnrm 3M�-ao 29"`� 8 <br /> CIT�' OF" EV�REZ"I'--Water Dept. ' <br /> J. ( � p. �,.', � <br /> Apalica:ion No._---s�_G.... -D te..G...':__.._.....r..............19_`.:'" <br /> Install......._���V�......inch water�ervice pipe <br /> I'or ._._........ .................. ................. ---..............;,...............----- ...---.. <br /> ��..:.�._G.'..--''=:....":.............._,.r''z.�...:y ....... „_- Street <br /> Gn �- .... <br /> / t�- ;z-- �fGT..... <br /> Lot......:.............................. .. .................... Elock No...................-•---............. <br /> 9ddition ....................:.....- <br /> �................__..........._.........................................--- <br /> � J ,; <br /> , � <br /> 3emarks ._-- - ..........{/.... .:..:.:....i...�.!.=�`-- -"-..:.>,.`...................- ..... <br /> ....................................... ............................................................. ............... <br /> .........._.._- _.................. - --- ......................_..............._.........................._- <br /> ........ ...................... ...... -�-- ............::........,......—:._.....�.........._.......... <br /> /t .�.%; ;i��:�- . �: <br /> ............---.....---`........................'--.._�.:....;�....L:,:.:..........-�Superin..._........... <br /> �� - . <br /> tendent <br /> LF.IS02 AI`ll ri1ATEItIAL tiSLD <br /> No Sizc <br /> ---- -- --�---- • P <br /> _..............................._......._........_i Lead �onnection Com Iete -- <br /> .....�..>.....ft........���..._� Saddl�•jC�p��te` <br /> .....�....V...... . .. . .........0..��.......':�..........................................Pipe <br /> __...... . Scrcic�fCock <br /> ..�......... . <br /> ._.....�.....................f��.....��'�' Servicc Bo:c <br /> No. ?Iow�s L�6or......_...._.............__......._.... Cost...._...._................._..................... <br /> Cutin........__.......Pavement........_........_X..._................_. ........._............Sq.F'l. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ �� <br /> Totnl ........................Sq.Ft. <br /> -----�-- - ��- <br /> Remar_:s.........._. ...... . ...................... - ......................... -.......................... <br /> _.. .. ........._....._....._ .................._........_........................................................ <br /> - - ...............................-- _............................................................................... <br /> Order ncce�a�d.. .. ,............__............. . . . .. .... <br /> . t /� �....." � . L'� c /�'�;!`? �._ <br /> ........... <br /> ...................... <br /> \'�orl� Comp.eted.�..........!.. ... .............:........ .....:.................�...... <br /> � <br /> Foret. x� <br />