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w. u .onM � V I � � <br />" " CITY OF EVE�E':T--Water Dept. <br />Application No...:.�'.. �_..�.:.. Date.__ ...............�..__.....:.............19...... <br />Intitall......._,::.:.'....... _.. .inch water service pipe <br />For ._.. ,....: ' ! <br />..:........ ..... ....... _ _.. ......_........_...... ............................................. <br />On .......::'...�:...,.;:cc� ... ,.. .. .- n�......._ � ! <br />. ..: .L.:........_��." .....� /a......i�...'.:. Street <br />Lot ....................:':...................................... Block Nd�..2ia.....�9 _}�\ <br />.... .✓....... <br />Addition .....:....:>r.:.._...:........ ..........:...........:.....: <br />............................. <br />Remarks.......................................................................................................... <br />_ _.,........_,.. ............._._.:......�...._�..w.......................................................... <br />......... <br />i, , <br />. .........../..._.,.:..r. _ :.:..............�.»]....:.t.:.�.F.I <br />. ................................................. <br />, <br />............... ..................... .......... ........ . .: %......................... .......................... <br />� ,;�*"'' <br />. .......................�...............J l..yrr�. �r...........................� . . <br />. ....................:..�... <br />�� � � Superintendent <br />s LAROR AND MATERIAL USED <br />Nn. Sixe i <br />-- - . .___'--------r � - <br />-- -- --- <br />--- <br />--� � ��� � � � . . . ' rnd Cnnncctinn Completc <br />.................. .... ....I S�ddle Cnmplete <br />._...........ft...... .:, .._ __ ..... .............. ....._...Pipc <br />_.. _..... ..... <br />. .. ........ . ................. Servicc Cock <br />.._ _ ................... ......._._........._... Scrcicc Dox <br />NaHow�s L�bor._ ............................._............Cost.................._................................ <br />Cutiu. .. .. .. ..Pavement ...................X........................ ......................_Sq.Ft. <br />....................X........................ �� <br />........................ <br />........__......X....._ ............._ �� <br />............ _ _ . _ ..... <br />.. __..._....X ........................ .� <br />........................ <br />-'------- �--_--= —._.—._—s-,— <br />Totnl .......................Sq. Fl. <br />— — <br />Remarks _...... --- <br />... ................ .... ..... . . . .. . . _...................... _........... _ <br />................................................ ....................................................._.� <br />Order Reccit•ed_ ._ ................_.._..._......_.__........... _...__ _._.� ..... <br />\Vnr� Complcted .._ . , ........ . _ : _ ... . . _ .... ..... ... . <br />Foremon <br />