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5.1.7riebclM7-,b� 7� � . " ".. ' <br />W. U. Ferm l / f '" <br />CI7'Y OF EV�.R�T`�'--�}Uater Dept. <br />�,.,; .� / ; <br />Application No .....::..::..._::'..1.. Date ........................ �.....:.............19..:'.. <br />Ir,stall........:.:' :...:...:::.:....... .icli water service pipe <br />Foi .............L..r:_'..:....::..:......:...:.:.:.....�../:7:........:....:.:..:..._..:......:._....:...:...::... <br />On ............... ��._`.�....�.�L....:..:.....-....../.._�............--...--:::.............. Street <br />Lot ............:i...�.�............._.... - ---.....--..... Block ;10. ---- :..............:......... <br />Addition........ .............................................:._......... ............. - - ................ <br />Pemarks..._....�..�-`- .:...::::: .................:......................:..:......._.............. - <br />...... ................................�..r ,..............................._...................................... <br />, , �� <br />�. <br />, <br />............................._.�...,.............._......_........ .........- .........-.- <br />............._ _..... , <br />,� � � , <br />..._....`-._-.-� ..........._.....;..� :..:.:..:......................... ._..._.:....................::...... <br />( : A ;%l� � Supe:inlendent <br />- '` --- � <br />No.� .I 5ize <br />^In. Hours <br />Cul in....._. <br />LAIiOR ANn 11iATBRIAL USl <br />-- = <br />. I Lead Cnnnection Complete <br />. i Sa�dle Complete <br />.... .................................................... <br />. Sc.vice Cock <br />.... Scrvicc Box <br />............ �.. � ..................................................... <br />.....X ........................ ........................Sq. Ft. <br />.....X ........................ �� <br />........................ <br />.....X ........................ ....................... .. <br />v �� <br />...................__........................ ......................-- <br />Tolal ........................Sq. Ft. <br />`___--=------- � -�----- <br />P.�marks....____ ___-._...._.._.........._............_..:__ ................................ <br />........... <br />Order Received.......... <br />t^ork Completed...... <br />- - ..............-- - - - - ._.... - <br />-.. _.'..._.....� ......... ................................. ... 1 <br />Foromt�n <br />