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� g 9 � 8 ,;��G <br /> w. o. roew a ✓ ✓ <br /> �- t;ITY OF EVERE�'I'--Water Dept. <br /> ApplicationNo��1�%::�..��... Date_.�..../............._.............--.19._�� <br /> /\ /r t// ........�.... ... . . inch water service pipe <br /> �s �] ' --... ._. <br /> For ,wc��,�.- _ 'u..-.fE.s:::..c.Ck:zn��5,...:......- - -- ..-.......-._..._.._ <br /> On .......:....'_Tv7-" �', .,�'t.:,�.,.;----_.................:. <br /> - -'-_--.. :LOL.G "".................. $tl'22t <br /> Loc....-zz.o� Ao�d <br /> _.... -- -- �---'-°'-s..-... Block No.....__......---------.. <br /> Addition ..._---...--------------..............-------.. <br /> ...............-'---..........---.. <br /> R�marks .._--------�---�----..............-----� <br /> - ' - - - • <br /> ....-"'----`---......... <br /> ......--�--------.__...-�---.... :: ::r.i:lza�!�z.: «:.z.��%..----..........----.........---------- <br /> ---_...-----�-----...---.'...__---'------�--."'..............................."-_"'-"_• <br /> '----�--��--_._.............-."---��---�----'............-----�--........_.......'-'-•'-_...."' <br /> ..--�..............._-_.....---............---_-.......-'---.'_....--"---"'__........."'_'-•"' <br /> � Superintendent <br /> . LABpR AND MATERIAL II3ED <br /> _No. Size I <br />' ----------------�---�--�--�-��—r ead Connection Complete <br /> ......................_.........__.._..._..._ _ Saddle Complete <br /> ....._._........--St.......... _........._. ...._.........._..............._............--.....................Pipe <br /> . ........._......_............__..._____..._ Service Cock <br />, .................._............._--......:._...._ Service Box <br /> ....._................--...._........._-`... <br /> . No. Aours Labor...__................_................._..Cost.._._............._...._........................ <br /> Cat� in...............__.Pavement........_..........X..................._... <br />` .....--...............Sq.Ft. <br /> . ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ..........__......X.._.._..__.......... . �� <br /> ....................... <br /> Total ...........Sq.Ft. <br /> ............. <br /> Remarks.................. <br /> . ............._.._............_............._...._......,_....---_.....------...._. <br /> ........_....._............_._................................_._...---------......_.----..........._...... <br /> ..............................................................._...._--......._......------..._...._--`--�-- <br /> Order Received..._---_..........____................--- \ <br /> ._.......__----._.._�-------.._... \ <br /> tVork Completed_--......._.............._.._..._._.___._. <br /> . ...._._........._---.....-- <br /> Foreman <br />.._ . . .__ _. _ ._. _.___ . _ . _ —._ . _ _ _ <br />