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/�:��"•� � - �;.3�� � <br />w. o. ra�w a <br />CITY OF EVER�TTY-Water Dept. <br />__ , <br />Application No......G._..'>.:.G.�.. Date..........:.'...... � ...........................19. �'.`� <br />Install ...............................inch water service pipe <br />For......................,............................................................................................ <br />Un ..........�... ��r'� r' • �.........lJ <br />.. .......:1.�... . ............................................... Street <br />Lot.............................................................. Block No.................................... <br />Additim� ......................................................................................................... <br />Remarks.......................................................................................................... <br />Superintendent <br />I.ABOR AND MA,TERIAL USED <br />Lcad Connectiun Complete <br />Saddie Complete <br />........................................................................PiPe <br />Scrvice Cock <br />Service Box <br />....... ...................I....... <br />... .......................I....... <br />... ... _ ............._... ...... <br />No. Y.oura Labor .............................................Cosl.................................................... <br />Cutfn ....................Pavement....................X........................ ........................Sq. Ft. <br />._..__...........X........._..........._ �� <br />........................ <br />_ ... ............. ...... _................ ...... .............. _. <br />�� <br />....................X..._ �� <br />. ............... ......... .............. <br />Tolal ........................Sq. Ft. <br />���,��- - - ----- <br />Re ma rks ................................................................... ............ <br />... _ ................... . _ <br />GrderRecciced ._ ................................................................_......_............... \ <br />�Vark Completed .................................... __.......__ _ __ _...._.__.......... <br />Foreman � <br />