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�- - � �� 33 � <br /> w. o. roar+ � <br /> CTTY OF EVERE7T--W'ater Dept. <br /> �: � � ��- - <br /> Application No.r.�t`�f.^_:.:.'=:', Date._./�.`..:............i:_�...:....... -.19.�.. <br /> - ., <br /> i_ Install..�1'...:.::...��.....T:. .inr.h water service pipe <br /> � : ,. . <br /> . ,�_ i.� <br /> r��• _ z......:.�.� . ._ ....._,..,_....,..,-.:..1_.__...... ........ .......... <br /> - � <br /> � �...... ...... ... ...__. <br /> .,.- <br /> ;� - ; <br /> , , ._ _<,. t - <-..... street <br /> On .....................:...::..::._......:_.._............�--- ..�,....;:...-... <br /> Lot....... ......................._...........--........... Block No.._........_....................... <br /> ��ddition .........................................................._....................._........._............ <br /> Remarks ............................. ............. ............................................................ <br /> .. .. ........ ......... <br /> ' ��t'.,......................................... . .................... <br /> t „ _.. <br /> nL; � . <br /> � � � ... . . ................ <br /> . ... •. �.:_.��.....'.....5.................. <br /> , - �.' .t.0 _......}.._.........__.........'_l!"" ....::a�._.r.""_.`.::(............. <br /> ...:......1,.._......... ....... /, j ' <br /> ��( Superin endent <br /> LABOR A1CD DfATERIAL USED <br /> � Yo. 'i Size � _ <br /> ---- -- ---�- -- � <br /> ........................... <br /> �,..._ ,,,._..........�I Lead Connection Complete <br /> ...................._...�_ .._..........._ Saddle Complete <br /> . �__' ;•;. . � <br /> 7�'.-?..ft....�7..::..::..:..e. r.................................._........................_._.......PiPe <br /> / <br /> ................ . ._ , . .. � <br /> ...................� <br /> ..._.....7�f--.t-......_ ServiceCock <br /> ......................... Service Bcx <br /> �...._._...__...... ..._........_....._..I -._..._._......__........._.�---....._.._ ...��_....._...... ......._.........�..._..��....... <br /> No. Hours Lsbor..............................................Cost..........................................._....... <br /> Cutiu........._.........Pavement....................X........................ ......._...............Sq.Ft. <br /> ....................X........................ ........................ .� <br /> ....................X........................ ..........._............ <br /> .� <br /> ....................X........................ ......_...._ <br /> ......_... �� <br /> Total ........................59.Ft. <br /> -`_— -- <br /> ---'�----- � <br /> , <br /> , ._, . . <br /> ..... ................................................. . <br /> Remarks....... .a....r �;t. rh:. �..t.............. <br /> , <br /> � �' <br /> : , , - . , • . <br /> ............... <br /> s..:...U.::a...._.................:...........�............. ..__..........._.._........ <br /> ...............................,�.....d.'..�.:\.4.'-:.1�............................................._................... <br /> OrderReceived.._..._........................................... ...�.......... ..........._............. � <br /> �.' ,' , <br /> \Vork Completed..�,:.:..,'...1..`:!:.'................:......_.,.._...•.: ' " .. ._....__. <br /> Foreman <br />