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� sa :s� -�- <br /> ;, �� s- <br /> w. o, ro ' a <br /> CITY OF EVERLTT--Water Dept. <br /> Application No..�..':'.�`...�'..�� llate.............................................-.19...... <br /> Iastall...............................inch water service pipe <br /> . � � <br /> For %' / ,,Z 5..�..�x:...._,-._h.1.a�...,........................................... <br /> ......................... ......... / <br /> On ...........�y..-.,.:.��.......Cc...:.c.a.:.>�_:G.<.n.:............................ Street <br /> Lot.............................................................. Block No..................................... <br /> Adclition .............................. ........................................................................... <br /> Remarks ...........C.C::.�:.i'.s._/r.:,7.s_`...................................................... <br /> ......................................................................................................................... <br /> .....................................................................................................................•---.... <br /> ........................................................................................................................ <br /> ............................................. ................................... <br /> .......................................... guPerintendent <br /> LABOR AND MATERIAL USED <br /> No. j Size I <br /> — - � <br /> ............................ <br /> ........................_ :..au Connection Cot.�plete <br /> ...................................................... <br /> � Saddle Cump?ele <br /> .......................ft............................ .......................................................... <br /> .............Pipc <br /> ...................................................... Scrvicc Cock <br /> ............................ <br /> .......................... Scr-.•ice Box <br /> No. Hours Labor............... . Cost.................................................... <br /> ............................. <br /> Cutin....................Pavcmc�t....................X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ <br /> �� <br /> ........... .. .....X........................ ........................ <br /> �� <br /> X........................ ........................ .� <br /> ...................Total <br /> ........................So.Ft. <br /> – ----- <br /> .......... <br /> Remar s................................................................................................... <br /> ....... ................................................................................................................ <br /> .......................................................................................................................... <br /> OrderRecci�•ed..................................................................................... ....... <br /> \Vark Completed...................................................... <br /> .................. ............. . <br /> 9oreman <br />