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/ 72 Z .� ,;- ; - . ,-� �� <br />w. o. rosw o ��% �(: J�.�_ \'. <br />CiT��C' OF EVERLTT--Water Dept. <br />Application No...r':i'.,:�:�.?... �ate .............::'..::./.....:i.:..:1::._......19...... <br />Tnstall ...............................inch water seivice pipe <br />For.....................................................................................:............................. <br />On ..................._�:..:�{.�'.. =:......�::�..:-.r:...`.:.�:�%:....,'�::�.............. Street <br />Lot............... ............................................ Block No..................................... <br />Addilionr� .................................................................................................. <br />Remarks'' � l/..r.� :.................................................................................... <br />.....ad.:..5.":....�....'��...._.-:.�i .<:...�� ...... ........_...._......_......................_...... <br />. ... . � :.... ;_�w>.. a ........................................................ ).... .. ... ............... <br />_ �j, % . � . <br />� � _-------------�.l..�..i��r.._: t �.�. <br />f .'�BOR AND MATERIAL USED <br />No. <br />-- <br />....,.._ ..................................... Lead Connection Complete <br />.......................... .. ............. ......... Saddle ComPlete <br />.......................it........................... .................................................... <br />........................................ ............. Scrvice Cock <br />.. ..---- .................................... Servicc Hox <br />Na. Haurs Labor ..............................................�os�.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />...................X........................ . ,� <br />....................X........................ ,� <br />........................ <br />....................X........................ ........................ <br />.� <br />Total ._ .....................Sq. Ft. <br />� — --- <br />Remarks .................................................. .......................................................... <br />Order Received........... <br />�Vark Completed........ <br />._.._....._ ...............Foreman �..' <br />