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. - ��3�3 � �,.__=_ <br />W. D. IO11M ] <br />' " CITY OF FVERETi --Water Dept. <br />Application No..�..:�'.�Z.-.= _... Date ..............::'...-.1....-.�:.:?�:............19._... <br />Iastall ............................. .inch water service pipe <br />.. <br />... <br />or................................................................... ............................ .......... . .. <br />. 1 � <br />.. ��, . , � <br />On....................�:._............ ...:c�:s.: ��.��.:...,.:.. ?z:..................... Street <br />7 ..r _ - -- - ............... Block No..................................... <br />Adciition.......................................................................................................... <br />Remarks ........................................................................... <br />........................ ..... <br />--.......... .�..:r / �r� ....................................................................................... <br />_ „ � <br />� ._J .....:.........................................__.......... <br />c <br />:� :............. <br />/O' zs' f;t <br />LABOR AND MATP•.RIAL USEI'i <br />R. <br />� <br />Lead ConnecNon Complete <br />Saddle Complotr <br />.... - - - --.... _ .............. . _....................................... P i p e <br />..... ...............I Scrvicc Cock... <br />Service Hox <br />� <br />No. Hours Labor .............................................�os�.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ......._............... <br />�� <br />....................X........................ ........................ <br />�� <br />................ ...X........................ ...................... . <br />,� <br />Totnl ........................Sq. Ft. <br />� _�..�L. ... ....____.._ ..........................................._............. <br />... ................................ <br />Order Recei�•ed.......... <br />\Vork Complered....... <br />w <br />...... ............ <br />Foreman <br />