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w. o. ror� a /��� � � � � <br /> ' CITY OF EVER�TP-Water �Dept. <br /> Applicntian No....!.:(..:Y,.,"':::... Date...............:.'.....%...!�.:.1f............19...... <br /> InStall...............................inch water service pipu <br /> For ..................................................................................../............................... <br /> On ..............................i'C..../..G.:........:.:.r.t....�tt....�:�.7,................. Street <br /> Lot.............................................................. Block No..................................... <br /> Adclition .......................................................................................................... <br /> Remarks .........., . . . ... . . . . <br /> S...A... . ...... <br /> _................._...f:�l��.........._.........................................................---.... <br /> ......................................................................................................................... <br /> ............................. ... .... .................................................�C.i�:1::-...�..;:-.�. <br /> ._..................................... . Superinlenden4 <br /> , <br /> �;� <br /> LABOR AND 'nfATER1AL USED <br /> No. ' Slze <br /> ------�-- -- <br /> ...................................................... Lead Connection Complete <br /> ._................................__............... Saddle Complele <br /> .......................f L............................ .......................................................................Pipe <br /> ..................................................... Scrvice Cock <br /> ..................................................... Setvice Box <br /> No. Houra L�bor..............................................Cosl................................................... <br /> Cutin....................Pavemenl....................X........................ ................. .....Sq.Ft. <br /> ....................X........................ ,� <br /> ......._.............. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Totol ...................__Sq.Ft. <br /> �- -- '-' - - —__. _ <br /> Remarks......................................................................................................... ... <br /> __.._._........_.........................................._. ........__............................. <br /> ......................................................................................................................... I <br /> OrderRecct�•ed................................................................................... ......... <br /> lVork. Completed.......... ........_ ... ...... _ . _ _. . . .._ _ _.__..__. .. <br /> F'oremnn <br />