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�- �- _ _ . <br /> i <br /> r <br />� <br /> I <br /> B. J:PpIQC�M LI � � � :.•- •� , <br /> W. O. IOHM ] /� <br /> CI�Y OF E�ERE`TT--Water Dept. _ <br /> . : , -<. <br /> .�,�,,� , �- <br /> AppLeation No...i:.....:...:....... JDate...._..............:.:.........:......-------19...... <br />; �%� Install.....-r.;�...-.-.._. .inch water service pipe <br /> , i .' _ , <br /> ' / /� �../..J::::....---:'_..::.�.'.. ', <br /> For .....:................. /- <br /> ......................._..................... <br /> .C.�,..;..�"--.....-�- --------......._._: Street <br />� On ...............---.................--•----- <br /> .. <br /> r <br /> Lot.................._•---------••---......._..----...... Block N��:.-�-��----...---.......... <br /> �; <br /> P.ddition -' : ` <br /> ................:...::............:..::_................................................................. <br /> � <br /> Remarks -�.................................... ...................................... <br /> ......................... <br /> - , , <br /> :, , , . ,_ .............................. <br /> ._................... ........'/.::.'..._ ............. <br /> _ .. .... - <br /> ,.., ......- - -- •- " ' <br /> .- -.`-... .... ....._.... <br /> , . ..........----......---�-...............--- <br /> .... <br /> .. ... .... <br /> ' �� ` ........................�...._"'__..::...."""'_�" <br /> .......... .. ..................................."""".........._ ., . <br /> . ! .i <br /> � ...................:...:...::....:.—: <br /> ........ ..........�...`.`.:...-�,............................................_. . <br /> U , Superintendent ; <br /> J^ _�— <br /> LABOP. AND MATERIAI. USED <br /> No. � Size —,I--- <br />' — — <br /> i ._,...__.........._._� Lead Connection Completc <br />` .............................. <br /> ...................................................... �addle ComPlete <br /> .......................ft........................... ........................----.....---....................................Pipc <br /> ......................................... <br /> ..._........ Service�'ock <br /> .,,...... Scrvice k�ox <br /> .............................................. <br /> No. Hours Labor..............................................Cost.................................................... <br /> �ut in....................Pavr.ment....................X......._............... ........................59.Ft. <br /> ....................X........................ ........................ ,� <br />� .................... <br /> X........................ ........................ �, <br /> ................... <br /> X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> — ------------ . <br /> Remarks...�.�..'...:-:.'.�,.'.:......:............:.....:..................................................... <br /> 1......_.......:................................................................ <br /> ..�.._._... ..... <br /> .............. . <br /> � , .. <br /> ,, <br /> , i � ......:.--:__......:.................................. <br /> , � ..""".1.................... <br /> .................A.!...........�...�..... <br /> Orde,. received.........................................................................._........:.:._\.. <br /> WorF. Completed.,..:,......._...._....::..:..................__......................................... <br /> F�reman <br />