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CITY OF EVEREIT--Water Dept. <br />Application No,.,<. , 7 ... Date............... gv�../.................. <br />19. _�- <br />Install ... _.................. .......inch water service pipe <br />For ......4GGe4!�.-.-t44-Z lall�.. ......................... _..... <br />On ......%.41_1r r.... ..................... Street <br />Lot............................................ ......... _... Block No........_.._.._......_.._._.._ <br />Addition....................................... _.................. ......... <br />Remarks ....lL.�tarG[✓.,.:........................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />............... ..... ._ <br />..................... <br />Lead Ccnnection Complete <br />........... ... ..... ___ <br />_......................... <br />Saddle Complete <br />.......................ft. <br />_.._.................... <br />................................... ....... _................. _.._... Pipe <br />............... ........... <br />_.._._......... ......... <br />Service Cock <br />.............. I .......... <br />....... ......... ....... _. <br />Service Box <br />No. Hours Labor ........... ............ .._................. Cost ..................... _.............. ........... <br />Cutin .................... Pavement ............... ... X ....... ... ........... .......................Sq. Ft. <br />.................... x.......... ....... _... .. <br />................... .X........................ ........ .............. <br />................... X........................ .. <br />Total ........................Sq. Ft. <br />Remarks............................................................................................................ <br />OrderReceived................................................................................................ <br />WorkCompleted............................................................................................ <br />Foreman <br />