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: � .j� � • // 1 '; ; <br />!� <br />w. d. ronw 1 ' . <br />CITY OF EVEREi'T--Watar Dept. <br />_ <br />Application No��.`.�,i....?. Date.......�.,.::../ .............................19.�:. � <br />� / <br />�7 / Install�....� ................... .inch water service pipe <br />F�r .... .. .........✓. .. 1._' :�._i..:Lt..r.:.;r.:.t..t..... .._ ...... . .............. <br />� • � ) <br />On ......... �•....1 �...3..........✓.! �:.s..:.s.` �..........✓.F...�i..:r/ .............. Street <br />Lct.....................................................�:�. Block No..................................... <br />Addition....................................... <br />............................................................... <br />Remarks................................./............................ .. .. . <br />. <br />... ..... . ..... ....... ............. <br />, - <br />_ .................._................._...... .::�...�.i...:: s..[.:.t.: �.�:z,.:.................................. <br />........ . .............. ................................................- -- _ <br />.................................. ................................................................................ <br />Superinlendent <br />'LdROIt AND MATERIAL USED <br />— -_Na_�_ Size '. --_ -_— <br />. 1 Lc�d Connection Complete <br />................................................ . <br />................................................._._� 8addlc Completa <br />.......................ft............ _......_..... I . _ _... ......... _...... .._.............................._.........Pipe <br />............. _..................._............._ Scrvicc Coc!c <br />......_ ................._ _....................... Service IIox <br />No. How�s La6or._...__...........__ .....................Cosl................................................... — <br />Cutin .............._._Fuvement. ..................X............._......... ........................Sq. Fl. <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />................. ..X.................... ... �. <br />........................ <br />Total .............._........Sq. Ft. <br />-- �-------'--------- --- <br />— -----_' <br />Re i n a r 4s ............................ ................................ . <br />_.. _ .................................... <br />.......... .._ ................ ..................................._....... . <br />.............................. ................. ..................................................................... <br />Order Received.........._ .......................... <br />_ _........_............ _ ........ ............. ... <br />\Vnrk. Compl^ted._...._.........._ ..._. _....__...... <br />_ ._....._.... _......... <br />Fnreman <br />