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�� � � / .�' '� . . <br />/ <br />w. o. roa� .• . -• ...1 . <br />- - CITY OF E\1ER�T1'--Water Dept. <br />.-: �:_ , <br />Applicafion No.l.::.:.:.:'.._.-� _.: Date............_�.!...:....' .....................19._': <br />Iastall.....::r ......................inch water service pipe <br />C ' <br />For� �+.hc. . . . . <br />_.-:...,.....1_r.::.._.........:... a....._ .................. -....,_..................... <br />- <br />�-.-.. l� ; . <br />.,_ <br />� � - . r�......�:�..,:.._:...... •.:.! ..:. :.:.............. Street <br />On .....r�....�....�..._<......_.... . .... <br />r_. - - Block No ..................................... <br />n�idition .... ......................... .............................................._...................- <br />Remarks ........_. J ......................_......-- <br />�� ................ <br />,, <br />; , � <br />� �...J._.�::,�.:,�.�:...i.:..r.::� .......................... <br />_ ............................................. ........�... <br />.. . ...... ..............._......."'_'__... <br />----'�'��-�""�""""""""" � Superintendent <br />:,AIIOR ANL MATERIAL USED _ <br />....._..__......._.._�i Lcad Connection Complete , <br />......_.._ .............� Sad�le Complete <br />. ....................... <br />........ ..__ .......... ....._..._.........Fipc <br />.................. � <br />. ._,..,_... Servicc Cocl: <br />............ . <br />.....,... Servicc Box <br />........................... ... <br />........ .._..........__ ................................ <br />..........................._._.......... _ _. <br />...-----.. <br />N Huw's Labor_..._ ....................... <br />o. <br />Cui in_.. ...__Favemcnt ....................X........................ .......................Sq.Ft. <br />_ _... <br />,� <br />....................X........................ .......... ........... <br />....................X........................ ........................ <br />�� <br />....................X......... <br />....._ ....... ........................ �� <br />Tatal ._ ..................._Sq. L't. <br />--- -- — <br />P, e� n a r ks ........................................................................................................... <br />.......................... _ _................ . ................ _...................... _.�, .......... <br />Order ?teccired ....................................................--. <br />.............................r........ <br />`i, . <br />C�inrl: Complcted ..............................._.................................._...Foreman, <br />