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w. o..ow./, �" 7 L 7 <br />� :, �� � � . <br />� �.ITY OF EVERE�'I'--��ilater Dept. <br />. ,. <br />Application No...._....._ . : ... Date.........1 .L ................_........19...�.. , <br />.. t....... <br />� Install. J .......... :..............inch water service pipe <br />For ' • <br />�.�._._f..._....r_i � <br />_ _ ::. _ . ............ .. ....:...:................................................ ... ... <br />On.......:�.._c.....::.�:..........r:_.......:.... j ...........:.:r._............................ Street <br />Lot..................................................._`..:..... Block No.. ................................ <br />�ddition ...._ .................................._............... / <br />�. .. . ......... ................. <br />Remarks................................._C...�...<............._:.._::.:................................. <br />___..._ _......._._ .............................................__............................................... <br />............................................................. ................................... <br />...................................................................................................................... <br />_............_.........._ _ ..............................................................._........................ <br />Superintendent <br />GABOR AhD MATF.RIAL L�S2iD ' <br />N.. ' Ci�.. I <br />........_...._.. Lead Connection Cumplete <br />_.. <br />.........................I S�ddle Complete <br />..................... . _ _.. _ ................. _..................................._......Pipc <br />..................__. Servicc Cock <br />......................... Scrvice Box <br />_".- No. Hours I.abor ......................_.__.................C��st.................................................... <br />Cut in_ _. .. .. _Favrment.__ ..............X......__.............. ........................Sq. Ft. <br />....................X........................ ,� <br />......._ ............... <br />X.. „ <br />._..._._..... . _ .................. ...._.................. <br />......_...........Y.........._ ............. ......................_ �� <br />Total ...._ ..................Sq. Ft. <br />_------ ------------- -�--- -- <br />-- - <br />Remark�. _ .................................................._...._......_...._.............. -........._. <br />__ .. ......_._ ............................................__...................................... <br />� ..................................................................................................................... <br />Ord�r Recciced__.......__ .................._.......................................................... I <br />\4brk Completed.._.....____......__ ........ ........_......... <br />_.... .. <br />Foreman � <br />