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W. O. MRAY ] � �� � /����� <br /> ' ' ` CIT�' OF EV�RE�iT--Water Dept <br /> Application No../�`..f..YYy Date................................................19::!:: <br /> Install_........................_...inch water service pipe <br /> For ....................................--_.._..._..... ....------� <br /> . ..............................'---............. <br /> On _.........:��'.�:.!'......4'_�=r..r.J..................----.........---............ Street <br /> Lot........___--....................... .....- -... Block No........_........_.....----�-- -- <br /> Addition ........---._._..._---._.......--...__.........._............._...--------...---......---..._ <br /> Re.narks ......_�c__.:�r.:.l.�'.«...�..-.............................. <br /> .......................-- <br /> ....._......_................................................................---.........-----....--...............'_--'- <br /> _....................._..---�-------....----._._.....----.........__..........--........_._.........._.......... <br /> _.._-------........_._.....----.........--....._................'----....-------�------.............._......_ <br /> ..--_......_...------...._......_...__........-'--`---------.....................'---..........-----'--'---- <br /> Superintendent <br /> LABOR. A3Yi� MNTERIAi, s iED <br /> No. Size ( <br /> —___ � — --_—_ <br /> -------�--�����-�---.�..��.���__-.-�..—�Lead Connecti�n Complete <br /> .................'..............._..................i' Saddle Complefe <br /> .........._......_...ft..............._........_I .............. __...___..... ..........._......................_.Pipe <br /> ....._._..._......................._........_.... Servi¢e Cock <br /> ....._..................._...............,...___ Se:vice Box <br /> No. Hou�s L�bor._....... ...._................._......._.Cost............................'....................... <br /> Cut �.n..........._. .._Pavement._._........._...X..._................... ..............._.......Sq.Ft. <br /> ...._...._.......X.._..............._._ �� <br /> ........................ <br /> ._...._......._..X._.___..._....._." .� <br /> ....................... <br /> ...................X.......__....._...... .� <br /> ........................ <br /> ______ <br /> Total .._......_............Sq.Ft. <br /> Re ma rks_......_........--_.._.....----...._.... <br /> ........ ........._........._......._---.................. <br /> .. ................._.. ......_.... _........._........--.___..._.._.............................._........._..... <br /> ._................_.................._................----...---...-- �-----..............----...._....-'-`-......-- <br /> OrderReceived..................._......_.. ........--..........._..._........._........---- <br /> \Vork Completed_..................._._ _... _._.._.. _._ _-- <br /> -..._ . _.._.. <br /> Forema <br />