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17..�2/ � � :�_5�� �' <br /> w, o, ronw ' <br /> � CITY OF EVEREI`1--Water Dept. <br /> Application No.�..:�..'...:.:'!. .... Date..........:.`...:..:.....:....::.:..............19...... <br /> i�stall...............................inch water service pipe <br /> For ................................................................ <br /> ................................................ <br /> , <br /> I , ., �- � r"i,: //.....�/�,� i Street <br /> � .�.........!.:: ..... ........:..................... <br /> n ......................._ . <br /> ...... .........._. <br /> Lot.............................................................. Block No..................................... <br /> Addition .......................................................................................................... <br /> Remar s ..................................................... <br /> ...................................................... <br /> � � <br /> i . '.�:�'�� ........................ <br /> ............�.: ..�.......................................................................... <br /> ............................................................................................................................. <br /> ......................................................................... <br /> ................... <br /> .............._.......... ,, <br /> � �. � , , , .� <br /> ...........................'. ' <br /> ...........:----.::<...... <br /> ......... ........................................................ guperinlendenf <br /> /.., <br /> LABOR AND MATERiAL USED <br /> No. Size � <br /> _ r--- <br /> ........................I :..ead Connection Complcle <br /> ............................ � Saddle Complete <br /> ...................................................... <br /> .......................ft............................ ................................................... <br /> .....................P i p e <br /> ...................................................... Service Cock <br /> ........................................ <br /> .............. Scrvice Box <br /> No. Hours Labor..............................................Cos!.................................................... <br /> . ......................_S4.Ft. <br /> Cutm....................Pavement....................X........................ <br /> ....................X........................ ......._............... ' <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ <br /> „ <br /> Total ........................Sq.Ft. <br /> --'— <br /> -- Remarks............................................................................................................. <br /> ................................................................................ .......................... <br /> ............................................................................................................................�� ' <br /> OrderReceiced............................................................................................... <br /> \Vork Camplete ..........................................................................Foreman <br />