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d <br />S J.Pr'eLa1M].�pl?�� / � � <br />W f.Form• ( � � � � I <br />CITY OF EVEREI"I =_Water�DP rJ <br />No. <br />Application No...Lf L..g. _ <br />l._.... <br />For ..............:. <br />,� <br />On .............. ��. <br />_�ervice pipe <br />- - .............. ................................... Street <br />T.ot .............................................................. Bl � ck No..............._...... <br />Addition ............... <br />................ ............... . <br />, ........ ................ . <br />• ...........:................................ <br />Remarl,s �,;1 G�...,�-- ' <br />- • : e .r <br />........... ....................... ' ' � <br />i.. .............:......... ' • <br />"'-„-•-- ................. <br />_ ...................... - •...�,,,..,,,, <br />.................................................. .......... •d.� <br />....-- - ..: .................................... <br />1 _.),�� ., i <br />AND MATERIAL USED <br />, _' t.end Conneclion Completc <br />�• � Saddlc Completc <br />�. K� � i ��r_ /�' • �' ." , i <br />........_.._........ � ......................................PiFe <br />........_. <br />.................I Scrvice Cock <br />Scrvicc IIox <br />. _ ........................ <br />?;o. 2�Iours LaUor . ........................................... <br />C o s t .................................................... <br />Cut in ..................P�vement....................X...................... <br />........................Sq. Ft. <br />....................7i................_....... <br />........................ .� <br />....................k.......... ............ <br />........................ �� <br />.................... X........................ <br />--- ------ Tolal ......Sq. Ft. <br />— ................. <br />----- <br />emarks ....................... -- <br />- .............................................. <br />Order Recei��ed ............................................................................................... <br />\1'orl: Completed.�1'. ..1 �"; ;-'r <br />......�.. %�:.........._.:.. : �'. <br />.................:...:.:c:: `t:,� ��........ 1 <br />I'oreman I <br />