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. � �" 7 7 <br />/ I..r�G__J � <br />w. o. ron•.Ia ' <br />- CITY OF EVEREiT--Uilater Dept. <br />App'.�cation No..�.._':....__'_::: i Date........_.......:�...:._l ...................19.._�- ,: <br />$ Tnstall............ ..inch water sercice pipe <br />, / J ... <br />� - F�r ....... J ._., ./.. <br />,� .{ ......_ . ....... ............................ <br />on `��:��9`#� ............�:-�= -, >.�c,; a�y <br />.___—.'':--�.�........:._......... S�trect <br />Lot.............................................................. S31ock No..................................... <br />Fciclitiw� ............................................: <br />� .........................�............................. <br />Remarks ..................._....._...........i.._�.:::..�..:._:..,:..:..�.:-: <br />................ ...........................- - <br />'k, <br />_...........__ ................._...... <br />Superintendent <br />LhBOR AIvD MATERLAL USED <br />:.ead ' �^� iection Comptete <br />Saddl: � .,mplete <br />�!i <br />5ervicc Cor.k <br />�crvice Pox <br />No. il �,.� s Labor ..............................................Cost................ <br />.................................... <br />Cutin._........._.....Pavem�_nt .............._....X.................._.... ............._....._..Sq.Ft. <br />....................X........................ ,� <br />........................ <br />� ....................X........................ �, <br />. . ....._ ................. <br />....................X........................ ,� <br />........................ <br />Total ..........._......_...Sq. Ft. <br />- —_-- ----- <br />P.emarks .............. ................................ ......... ............................................... <br />....... _ .......... ............... ........................................... _.. <br />............................................................................. ..... ........ <br />OrderReceived._..._ ......................................................... <br />\VorY. Campleted............_ ....................._..._..............._.. <br />........ .. <br />Foreman <br />