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� -���8 �-� � :/ ��39 <br /> , <br /> w. o. ronH <br /> � � CITY OF EVER�7T--Water Dept. <br /> Application No.f.:.�1...C'..f,:� Date....._'�...�...........................19.�.� <br /> � Install............... ..............inch water service pipe <br /> For .....`�S.<.��:.X r..i�c�....... _ ... .r. : r` ............. <br /> i �f , <br /> On ........:.2�:.��..3......_!� �c.vL�:I.�i......_...._.......... Street <br /> Lot.............................................................. Block No..............................----... <br /> Ad�iilion ........................... .............................................................................. <br /> Remarks ........................... . . . . . . . <br /> . r�........................... . <br /> .................................... <br /> ...................................... G: ..,:�:�.,�y�:.:.s:�:,.�:.................---------------.... <br /> ............................................................................. .......................................�---... <br /> �' „ <br /> � , ,> <br /> 4................:...�.................................... ..----..................................................... <br /> -= ..../...�.:...7./......................................................................................�----.... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. � Size � <br /> ------ <br /> ..................................................... Lcad Connection ComPl�•te <br /> ...................................................I Saddlc ComPletc <br /> ......................St.�_.......................I ........ ..............................................................Pipc <br /> .........................�.........._............. . Servicc Cock <br /> ......................................................� Se.vice Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X....... ................ �� <br /> ........................ <br /> .... ...............Y........................ ........................ �, <br /> ....................X........................ „ <br /> ........................ <br /> Tolal .._....................Sq.Ft. <br /> ----– — <br /> Remarks.................................................................................... ........................ <br /> _......................_............................................................_......._.................----.... <br /> . ... .................. ...... . ................................._..........................................----..... '� <br /> OrderReceived............................................................................ .................. / �'1 <br /> \Vork Completed... ............................................ ....................................... � <br /> Foreman ;�� <br /> ��y <br /> ��.;s:,•`�i <br />