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n. o. rOwr a <br />0�3�'9- .-,,_ 8� <br />�;�TY O� EVERFTF--Water Dept. <br />FF,!`!-i -' � , , <br />, /,, 19..�:., <br />..... <br />ApplicationNo......_�'...:.';.; Dat�........'......' ................. <br />install .................... ........ .inch water service pipe <br />For.. .. _._.... .......__.._...._ ....... ................. ............................................ . <br />(•: p� ��.:..i...t.�.._ ..:.......................................... Stree� <br />o„ .......__...� /..._i.:....... <br />L o t .................................................. <br />............ Block No ..................................... <br />Adiiition..................................................................................................... <br />I?cmarks ...................... <br />.......................................... <br />............................ <br />.................................................................................. <br />......... _ .......................................................... ......... . <br />_ .......................... _ .. <br />. _ ....._.._ ..................._............ <br />........................................... SuDerintendent ... <br />No. <br />_._ ...............__I........__. <br />_ _ _ <br />.... . 1t �i.. ..... <br />LABOR AFD MATCRIAi, USED <br />Lcad Cnnneclian Comple:e <br />Saddlt Completc <br />__ _...._.Pipc <br />_. <br />5ervice Cock <br />Service Box <br />...._ _._._... _. <br />..____.. _. <br />......................_.._.. _............... ..__. <br />..........................._........ _...__....... _ _. _.... <br />.___..._ ..............__ __ .. . <br />.................................................................. ........................ <br />. ... ... .....Cosl ..................... __..............._ _.. .... <br />No. Hours Latwr.._........... _...._._..... . . <br />. .Favement. .__.......X_.......__......._. _ ......................Sq.Ft. <br />Cul in_ _... .. ....... <br />�� <br />. .........._ _... X........._ ............. ........................ <br />� ........................ �� <br />___ .............X........._........_. <br />............. _.... X.. _... _............... <br />........................ �� <br />Total ........................54. Ft. <br />Remarks...... <br />_ _ ............................... _ <br />Order Recch•ed......... <br />\Vmk Cnmpletcd_ <br />....._... _.........._..__ ......................_.... <br />....... ............ <br />_ _ ........................... _.. _. <br />................................................................. <br />......... _ _ .............. _ <br />_._.......... _ <br />__ _ .._ <br />......_.._._..__.. _ . .___.. ._.. Foreman <br />