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/lo7v�� _ ,fi ' <br /> l= <br /> w. o. ro�w a / r� ( �� <br /> . r'ITY OF EVEREIT--Water Dept. <br /> - <br /> � <br /> �ppllcation No...�F�:��.c... Date...........�.......�........................19..C. .`� <br /> Install...............................inch water service pipe <br /> fior ............................... .. ...........:... . ... <br /> 7.......................................... ..... <br /> �. .2 �n�.l, -� �r /• <br /> On ..... ..c'.-......�......:............:.a........}...........�1..................---.......Street <br /> Lot..............................................`�............ Block No........................ <br /> Addition . ................................................................................................. . <br /> Remarks ..................................................................................._..................... <br /> ............................................................................................................................ <br /> ......................................................................................................................... <br /> ........................................................................................................................ <br /> ........................................................................................................................... <br /> Superinlendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> -- -- <br /> ......................................................I Lend Con;iecllon Complete <br /> ...................................................... Snddle Complete <br /> .................... <br /> ...it............................ ........................................................................Pipe <br /> ...................................................... Servlcc Cock <br /> ...................................................... Ser�•Ice Sox <br /> Na. Houra Lsbor..............................................Coet.................................................... <br /> CutIn....................Pavement....................X........................ .......................Sq.Ft. <br /> ....................X........................ �� <br /> . ...................... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total .......................:ty.Ft. <br /> ��� � — <br /> Remarks............................................................................................................. <br /> .................................................................................................................. <br /> ........................................................................................................................ <br /> OrderRecci��ed............................................................................................... <br /> \Vork Completed.................................... _.....__..__...... ......_.. .......__...... / <br /> Foreman <br />