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/ So2g �� �+ - <br /> . <br /> w. o. rnnw <br /> - �CITY OF EVE�RE"F1'--WatNr Dept. <br /> Applicatiun Ko.l...3.C...�S� Date...........:T ."�.........................19L:c 7 <br /> '.� Install)..................�__........ .inch waterservi^e pipc <br /> fior fL::z,...........J.?�.�,s �.�C<'.>5._.. . <br /> r . .. ............. <br /> L �._. .. <br /> On .............�1.�.......... •...c4a.ti�x�:'....L..�..cric!.................. Street <br /> Lot.............................................................. Block No................---................. <br /> Addition ..........................._.................. ........ <br /> _..........................._ <br /> Remarks ............................................................ <br /> � ........................................... <br /> ......................................cf.�L�.2:ta�.<�l..r'..l.ccz[::...................................... <br /> .................................. ........................ .............................................................. <br /> ............................................................................................................................. <br /> ............................ ......... ...................................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL USF.D <br /> No. Size I <br /> ----- -----r�--------�- -- <br /> .__............................._.__.......__..� Lcad Connection Complete -- <br /> ......................... ..............__._..._.' S�ddlc ComPlete <br /> ......................tt............................ .... .................._...................._.......................Pipe <br /> ............................... .......... ......... Scrvice Cock <br /> ........................... .......................... Srrvicc Bor. <br /> Yn. }[uw-n LaLor_....................._._................Cost.................................................... <br /> Cutin............_.__Fnvrmcnt__....._........X........................ ........................Sq.Ft. <br /> ....................X........................ .......... �: <br /> ...__....... <br /> ....................X........................ �� <br /> ........................ <br /> ......_..........X......................_ �� <br /> ........................ <br /> Total ......_......._......Sq.Fl. <br /> . .—�- --_ '--�__— --- � <br /> Re m a r k s...................................................... .............. <br /> ....................... <br /> _ _........................._..... ......... ...... ............................. <br /> ....... ........................................................................... <br /> Order Receieed ..... _.,,_.. <br /> \VmY. C;omplcled _ .. _. <br /> _ _ ......... ... .....\ <br /> . .... ...Fnrrman <br />