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='-;,'`' <br />y;p ' <br />� <br />��2�� <br />w.�o. rosv. a -', �..> n . <br />_, � .� Y<_ <br />CITY OF EVEREiT--�Xlater Dept. <br />Application No..��:��:��.:'.... Date......_::�.:_(....: G:...��.`� .............19..--- <br />Install ...............................inch water service pipe <br />For..... ..... ..._.... .... _ .................. <br />� . .../ ........... ........ <br />l ...... <br />On ..........%��.2Q �'�f�;f-J. �:c.ci��'.G..,.'._/��1..- Street <br />--... ...... ..... . <br />........ <br />Lot........................................................• �--. Block No.....--��---•--...................... <br />.4ddition ... .................................................... <br />..... ..........................-............ <br />Remarks ..........._.......... <br />� , . :� .... .................................--.....---� � -- - <br />� <br />No. <br />Lnuun eND MATERIAI, USF.D <br />;.ea3 Connection Canplete <br />Saddle Completc <br />.................................................... <br />Servire Cock <br />Service Box <br />.... <br />.................................... <br />No. Hours Labor ..............................................Cost.................... <br />.................... ... ........ <br />Cut ia ...................Pavement...................X................. _ . <br />..... ........................Sq. Ft. <br />....................X........................ �. <br />........................ <br />....................X..................... .. �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Ss;. t't <br />—z---==----_ —_ <br />_-- <br />R em a rks ........................................................................ <br />............................ . .._ . <br />............................._........................................ ............- ........--- ........ ---..... <br />............................. ....................................... ....................................... ..�--...- -.... <br />OrderReceived ....................................................................................... <br />..._.. l <br />�Vork Completed .................................... -� -.................................. <br />........ <br />Foreman <br />