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CITY <br />/0 2 <br />OF EVEREiT--Water Dept. <br />Application No.- .JJ..'l(1.-2 Date........'_Z ........................19....(r <br />Inall................... .......... .in h water service pipe <br />For ........�lj..�t s`.. k:2M ............. ........................ <br />On........... _... dL..9........ ...cL. ..2:i.................................. ....... Street <br />Lot................... ......................... _...... _....... Block No ........ ....... __................. <br />Addition......................................................... ................................................ <br />Remarks........... _........... .t-a_..... _....... _...... _....ti.................... ................. <br />................................................................. <br />.............................. _...... _..... _............ _........... <br />_._ ......_.... <br />/.-...-..67............................ ---- <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor........................... _................. cost .......................... _....................... <br />Cutin....................Pavement.................... X .............. ...... ........... _.._....... Sq. Ft. <br />................... X.................... . .. <br />................... X............ ........... .. <br />........................ <br />...................X........................ .. <br />........................ <br />Total ........................Sq. Ft. <br />.............. ........ ........................................................................................... _... _... <br />OrderReceived..........................................................................._............... <br />WorkCompleted......................................................................................... <br />Foreman <br />