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� ��IN�� �� % � � _ � �. <br />\V. O. fOFI ] <br />- - CITY OF EV�;RE � T.-Wuter Dept. <br />Application No..�..:_'...'....., _; Date..._........._S_.:.......1.' ................19.�.-. ,: <br />�' Install.:.........' .................. .i�ich water service pipe <br />For ... � r '-�C : 1�.�:. � <br />..... <br />�, ia ,- � i ' � � .; ............... <br />On .... c1 <br />' . -. :� .l. . . i <br />...✓ / ! c � --- s� .:..... Street <br />Lot.............................................................. Blcck No............................. -..... <br />Arldition_ ........_.........._ .................................. <br />_ ......... ................................. <br />Pemarks....................................../°�-................ <br />.........< .................. .......... <br />.........._.._........_............__ < �-,- T„_ <br />................................................ .......................... ....................... .......... <br />No. <br />................. <br />........................................... _.._ _... <br />...................................... ................................................................................ <br />Superintendent <br />LABOtt AND :1fATERIAL USED <br />Sizc <br />................... <br />j Lea1 Connection Conplete <br />��_� .............' Saddle Complele <br />_..._............I <br />.................................................... <br />���-............. Scrvicc Cock <br />._ ............... Service Sox <br />Pipc <br />.... .......................... ....... _........ _................................ ........ _............ <br />......._ .............................................................................._.._...._...._ . <br />................................... <br />No. Aaurs Lsbm• ..............................................CosL.............................._................._ —_ <br />Cut in.__ .............. navement..._..._..........X........................ <br />........................Sq. Ft. <br />....................X........................ ,� <br />........................ <br />_.__ .............X........................ �� <br />........................ <br />.._ ................X......................_ �� <br />........................ <br />Total ..................._..Sr7. P't. <br />------- --.. _...--__--- <br />--- <br />---- --= <br />P.einarks.__.._ _.._. ......._ .................................................... <br />.......................... <br />........... ...__................................................................_ .._ _..................... <br />.................... ..................................................................... <br />...................... <br />C.der �?eceieed.._ ............._...... <br />_ _.. _....._ ................. .. ................,......_...... <br />\VorF: Cmnpleted_._._.. _.... _ �., <br />_._. . .._. __ ._.... . . .._......._......... <br />f'areman <br />