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•'� O. IO�M � <br />/i,S�D' ��, <br />CITY OF EV�RE7T .Water Dept.� <br />Application No...-:.:.�.: :.:.,... llate ..................'......_'..�.. � , <br />. ..f.........19...... <br />Install ...............................inch water service pipe <br />For.............................................................................. ........................... .. . . . <br />.. ... <br />On ....................... r::%..L=.....a:.....::�w:.a:.. t.�.:: J.(. : � <br />......::.............. Street <br />Lot .............................................................. Block No............................. <br />Addition •-•--•• <br />................... ................................... ........................................ <br />s....:.. .... <br />j��.......................... <br />.............................. . <br />Remar J.�/� .................................... <br />.......................................................... <br />.................................................................. .......... <br />......... .................................................� ..............�.............. <br />_ . ..................... _........... . <br />....................._ !(� .� /�..•..y.c <br />.................. <br />......... ..� ...:. ::.:........ y <br />�' SuperinlendenlV <br />LABOR AND MATERIAL U3ED , <br />_ _ No. Size <br />—_I -- -----_-- <br />..................................................... Lead Connection Complete <br />............................................._...._. Saddlc Complete <br />.....__ ......... ....tt............................ <br />............ . ........Pipe <br />. ................................ . <br />. ................ <br />. ..._ ................._ _........................ Service Cock <br />..._ _ .................... ....... <br />�������������������� ervicc Box <br />................... .... .......... .............. . <br />. _ _ ................. <br />—�'_ ............................. <br />................................................ <br />.......... .. <br />No. Hours Lsbor ..............................................Cost...................... -_ <br />Cutin.....__. _._... ............................. <br />. Favement ....................X....................... <br />........................Sq. Ft. <br />....................X........................ <br />......._ ............... �� <br />....................X....................... ,� <br />........................ <br />....................X........................ <br />— I'utal <br />........................Sq. Ft. <br />� <br />emarks ....................................................... ._.._ --_ <br />......... _..........._ _ <br />..................................................... ................. .. <br />. <br />.. ... ........................................................... <br />....................... .. <br />Order Receiced ....................................................... . ... . � <br />. . . . ........... ....... .... .. <br />\Vork Complcted......._............___. _.._. <br />___... . <br />Foreman <br />