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� . ,�;�s�,� _ - � <br /> w. o. ronw � ._l _ �,('ry-� <br /> � � CIT�' OF EVERE i T--Water Dept. <br /> - - �, � - _ _ <br /> Application No.(.:�.'...:../. .... Date........::�..:�.....4.:..`.J:.................19...... <br /> Install...............................inch water service pipe <br /> For .................................................................................................................... <br /> � , . • <br /> On .............._....`e..�:.G?.`f........�...L��!S.f-�...�ti Ll.........---...... Street <br /> ✓ <br /> Lot......................................................... ... Block No................................----� <br /> �ddition ..................... ..................................................................................... <br /> Remarks .................................................................................. <br /> ..................... <br /> ��),��:i, <br /> �; <br /> .................:.:.f.....:�'.............................................................................................. <br /> ............................................................................................................................. <br /> ...................--................................ ...._. .......,y...----_...... <br /> . .... <br /> ....................... ......... � ., <br /> ......................................................................................:��.:�.:.:.j�.::::��, <br /> Superintendent <br /> _y!'! T <br /> LABOR AND MATERIAL USED <br /> No. ' Size <br /> ------ ---- <br /> ...................................................... Lead (:onneclion CamPlete <br /> ...................................................... Saddle ComPlete <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ............................................:......... Servicc Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.F'. <br /> ....................X........................ .� <br /> v " <br /> ..................... ......................... ........................ <br /> ....................X........................ �� <br /> Total ........................Sq.Ft. <br /> ---'- <br /> Remarks............................................... • ......................................................... <br /> ................. ........................................................................................................ <br /> ........................................................................................................................ I <br /> Or�ler Rer�ived...................................................................................... ..... <br /> 1VorkCampleted............................................................................................ <br /> Foreman <br />