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��� �� _ .� <br />w. o. ronw o 7'_- r,!,,r�". <br />CITY OF EVEREZ�'--Water Dept. <br />�.pplication No...%�" �Gr.... Date.........:.�:- / -' i1 <br />�: .., . ...........�...... :- •----.1`J...... <br />lnstall ...............................inch watcr service pipe <br />For.._ ............................... � ......., ...........__.......... <br />� � ..........................._...... . ......... <br />� � / <br />��r ; . �- ,,, , � <br />Ga ............... .......:�,::.t..��.� ::..r::::..:'5�-. � f J..:.. Street <br />�...:�:.�.:..._L <br />Lot........... ......................................-� --..... Block No.-------....... <br />...............--- <br />F ddilion <br />. ..........................................�---.............................................. ............. <br />Remarks:. ......... ..................................................................................... <br />� � ..... <br />_ ........._1J...���%� .....................- - <br />LABOR AND MATEAIAL USED <br />Siz _ �_ -- <br />...........................I Lead Connection Complete <br />........................... Saddlc Complele <br />.......................... .......................................................................Pipe <br />......_ ..............._ 5ervice Cock <br />................:......... Service Box <br />No. Aours <br />Cut in....... <br />........................Sq. Ft. <br />........................ �� <br />........................ .� <br />_ ___.__.__ ........................ ........................ � �, <br />Tolal ........................Sq. Ft. <br />... .......................................................................... ............................................... . <br />............................ ............. _-"--'-"-- <br />OrderReceived ................................................................................................ <br />\Vark Completed ............................................................................................ <br />Fureman <br />