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d,i rRl[�[� ��� ✓ � <br /> M'. O. IOI�y <br /> CITY OF EVEREIT--Water Dept. <br /> Application No..f �`i.�:� pate....��.—..............�.....:-........19.;.f <br /> 7nstall..._��..'...: ................inch water ser�ice p�pe <br /> For .................................................... <br /> . . .. <br /> _ ........... <br /> ....... ................................... <br /> On ,� •,� �- �- .r.�.:............................ Street <br /> .......................... .f................ .�. <br /> ............... <br /> Lot............................................................. Block .Qo..................................... <br /> Addition ..........................� ::,,................................................................. <br /> 12emarks • � <br /> ...........................1... ti:./.�.�..[.�.._-.F....a�.................................... <br /> / ...... �......�..:............................................................................................ <br /> S ............._.. <br /> � , J ... <br /> ......f.'.. ....... <br /> . <br /> f <br /> l t�...:.:::::::::: ::.:::::::::.��::-�::::... ...............---................_.... _ <br /> z _ �� r�� � , , ,-�........................._................... <br /> ... <br /> ' .. ... ........ ,t.............._.............1.: �'-..i!...E..t�..... <br /> . .... .. ............................ <br /> ,[�s1�%? i� 9uperintenl.ent <br /> /�-;, • <br /> ���- !� ��„a <br /> LABOR AND MATF.l�IAL Q86D <br /> No. Size <br /> —----- — <br /> .............................................__..... I.cad Cnnnectian Compietc <br /> ........................_............._............. Saddle Complete <br /> � . . . -,................................................Plpe <br /> .............. .....ft......./.�............_ ..C�"�"- <br /> ....................../........�/..?............. Ser�FE Cock <br /> ......................./............................ 3ervlce Box <br /> No. Houre Lsbor......................................... ...Coel.................................................... <br /> Cul In....................Pavemcr�t....................Y..........._.�....... ........................Sq.Fl. <br /> �1 �+'Itt �i.' X........................ ........................ �. <br /> ...X........................ �� <br /> ....................... <br /> _...............X........................ �� <br /> ...................... <br /> Tolel ........................Sq.Fl. <br /> Remarks..............................li.. . -�%..�..)............................................ .. <br /> ... ..........................................�...., .w....rns/'�i�.-,R.�............................. <br /> , <br /> y <br /> ...................................................:a ....i.............................._.............................. <br /> OrderReceived........................................../..�. ... �... ....................................... <br /> �Vork Complcted.�l..cG..,�..��............�.f...I.LL:t-.�.�:,..........................._. / <br /> Foremun <br />