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o - <br /> w. o. ro� � <br /> 'l`;ITY OF � EVERFi`i--Water Dept. <br /> A.pp'ication No..... ..... ....... .... Date................................................19...... <br /> Install...............................inch water servfce pipe <br /> � , „ <br /> F�r ._:._�..:.........:.......::..:......................._....:.:......:.................................... .... <br /> �. _._._r— _ <br /> On ....:......:............................................................................:.............. Street <br /> —I I I (.v� C. r �� � : � <br /> Lot............ ................................................ Block No..................................... <br /> :lclilition ........................................................................................................ <br /> ficmnrks .......:.............................:.....:.....:....................................................... <br /> .......................................................................................................... <br /> ................................................................................................................... <br /> ................................................................................................................ <br /> ............................................................................................................ <br /> Superintendent <br /> 6�. � LABOR AND MATERIAL D9ED ��'� <br /> No. S�ze <br /> --- --- — <br /> ...................................................... Lend ConnecHon Com4lele <br /> ._........__...................................... Snddle Complete <br /> ......................1t.................._........I ...................................................._..................PiPe <br /> .................................................... Scrvicc Coek <br /> ..._..................._................,......._ Servlce Box <br /> No. Hours L.�Iror.............................................Cost.................................................... <br /> Culfn.......__. _....Pat�•ment_........._.......X...................._.. ........................59.Ft. <br /> ....................Y........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Totnl _ .................Sq.Ft. <br /> �, - -�`' --- -`"— <br /> Rema rks.................... ........................................................................... <br /> .......__..... ............................................................................................... <br /> ...................................................................................................................... <br /> OrderRecei�•ed ..... ..................................................................................... <br /> `Vnrk Completed...... _.............__...... .. . ........_. . ....... . / <br /> Foreman <br />