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w. C.'.e�r s- �� � � • <br />� <br />CITY OF EVLREiT--Water Dept.��� ` <br />Appllcalion No.<�.�.7.%... DBte........... �:�_c.f.....�..1 ...............191 i <br />Install.........:� �y..::........inch water service pipe <br />, <br />For r: 's.�� r � � .: � � r....:...r.._�..,...:.:.-. <br />.......................'^ ..........:.... �,. .................................. <br />y:.1 �..y-��T—✓-_.��i�_ ,� -�,� %. �,.i ;( <br />On ......_ ................:....::.::...................,:...........................�...:..::`........ Street <br />Lot...................'�.7...�...................................... Block No:.................................... <br />,. , <br />Addition ......!...::?t�r..�.c..........._...,:::.:.�:..� ........................................ <br />Remarks .....1.�:�./..:.�....:.<.�_..:...... <br />............................................................... <br />. <br />, , ._ . <br />..............................J.. ... .....:z....... <.... ............L:..:..r�..�.,..:..r..i._.L.................... <br />....................(.............................................................'......._.!_____.. _._ . <br />............................... ................................................................�....... <br />. . / . � .............. � . <br />LG• /� <br />_ ...............:�.�...........,.....t�= ..�..a.............................:'.:_�::...../-.: ...:'...L.�... <br />� ` �� �/' � Superintendeqt <br />ii i <br />LABOft AND MATERIAL UBEU <br />Nn. <br />.__ ......................I...........................I Lcad Connection Complete <br />_ ........................................_.�.�... � Saddle Complele <br />.._ ..................ft..................�........ .. _..............:...:......_._...................................Pipc <br />..................................................... Fervice Cock <br />....._ .............................................. Serv:ce Bax <br />.............. ........ <br />No. Houra Labor._......._..._............_........... <br />rut la._.........._.Pevemcnl .............._..]( <br />.................... X........................ <br />...... .............X........................ <br />.........Sq. Fl. <br />.._._._..........X......_............_. �� <br />........................ <br />�� . .------ ---.: <br />Totel ........................Sq. Fl. <br />Re m a r k s .. .........................:........ _......... ,..; ......., .. <br />............................................... <br />� , <br />, ,. . <br />_._.........__....,1..L ............................................._........................................ -. <br />...................................................................................... . <br />. ..........�....... <br />Order Received__ ....................._....._ _......................................... <br />............ <br />�Vork. Completed._:._.._._.._ .................. :......... ....._._...................... <br />F'oremon <br />