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/9� 9 g0 ;,�' � <br /> w. p�ID111M 1. <br /> CITY OF EVEREIT--Water Dept. <br /> Application No/`�J.yl._... Date..._.�.::....L..._--....-_--._........19...�✓� <br /> /. ,- Install f.. ...........................inch water service pipe <br /> For ..GG.-1r..��4.c.z`:�...._l��!-��r.�: �L:f::.:..........................--...---............ <br /> On .--�---f`./..lL.:�?..._.L<{G-Kn.:�l..k::.............................................. Street <br /> Lot .....�-= 7_ /aa�a cw:..S... Block No..........---...................... <br /> .......... <br /> Addition ........,. <br /> ....--...__......................................_.----....--._..................... <br /> Remarks .............- -...... � ._..... . - - - <br /> ........... <br /> ._.._.....--�................... <br /> . , <br /> _..----........------.....----.._.....::�_��.zsi;�cz.�.cti.;1.....---�--.......---�----�-�---�------- <br /> ..........'............................................................................."'."".._.................."""" <br /> ..............................'..'...............__.'_.._..............._..........._..._'..._............._........"" <br /> ..._.'._............._........._._......................._..............'._........""_......................'_"""' <br /> Supulntendent <br /> LAHOB AND AfATERIAL IIBED <br /> No. Size <br /> ....._......-------.._..........................._ �ead ConnecGon Complete <br /> ._.._..........'_'......................_.___. Saddle Cemp]ete <br /> ...._................R.....................---.... . _Pi{ie <br /> ............._..__......--..__.........._--.............._. <br /> ........................._......._................... Service Cnck <br /> ......._....................................__.... Service Box <br /> No. Aours Labur....._........__.._......_.._...........Coet..._._............................................ <br /> Cutin..........._.......Pavement.........._.......X._......._.........._ ........................Sq.Ft. <br /> ....................X........._.............. �� <br /> ......._........_..... <br /> ...................X........................ �� <br /> .._`..............'-- <br /> ....................X........................ �. <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks..................--............. --................ <br /> _..................._......._......._ _ - ............_..........._ .._...... . ----.......-� - <br /> _.... ._................................................................. -- .._....._._....._......_............. <br /> OrderReceived_.._.._..._..................._...........................__.......----........_.\ <br /> \Vork Campleted....._......_......._........._.__ _ .__. . ---....... .........-..._.. <br /> Foremae <br />