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• /�D ��V � . - //,S✓;.�3 <br /> W. D. fOFM J <br /> � � CITY OF EVERE'�'I'--Wacer Dept. <br /> Application No./.._`l.�.C..7..�.. Datc...........!.1...."..,�......................19.C.:� <br /> 7nst . .. . ........inch water service pipe <br /> �, // i i <br /> ......... <br /> ....... <br /> For .,,!�.�!.r�c.t:-�x..,:::....._..... ..... . . . ............. <br /> /� .��. .._ <br /> On ........:.�:�,.�...,i....L.. ... :t.e.a..w�L4<�.!......._..._.............. Street <br /> Lot........./l 2.�.........--�........................ Block No...........--•----............ <br /> ....--- <br /> Addition .......................................�---.......................... .................................... <br /> Remarks .......................... . . .................... .. <br /> . . .. .... . . <br /> .... ....... <br /> ........................................ .� . :r�.ti,y.!.c� �z�............................................ <br /> ....... ...................................................................................................................... <br /> ..............................................................................................................."-'-------... <br /> ..................................... ......... ............................................................................ <br /> Superintendent <br /> I.ABOR AND MATERIAL USED <br /> No. ' Size I <br /> .... ............................................ Lead Connection Compiete <br /> ...................................................... Saddle Comrlelc <br /> ......................ft............................ ........................................................................Pipc <br /> ......................................_........_.... 5ervice Cock <br /> .................................................... Service Hux <br /> No. Hours Labor..............................................Cosl.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> .... ...............Y....................... ........................ �� <br /> ....................?:........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----- ----- <br /> Rema rks....................................................................................... <br /> ...................... <br /> .......................................................................................................................... <br /> ............................................................................................................................. <br /> OrderRecei��ed............................................................................................... <br /> \Vork Completed............................................ ............................................... <br /> Foreman <br />