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.,� , <br />;. s� <br />• :^ � <br />;��:;;�, <br />.t <br />,�":'�' : <br />;: �. <br />.k� :. "{�" Y.':. . <br />.t t"'a-. .,r:�. <br />! <br />��Sc . <br />�., <br />7;_`.c <br />w. O. IONM ] , �I ��/ l,.� //C� !�."�" <br />-r <br />- CITY OF EVEREiT--Water Dept. <br />Applir_ation No._t:�!.:;�:`'_/--... Date........,�.::.�.::_�:..`..� .................19...... <br />I�stall ...............................inch water service pipe <br />For.. ............................ ..... .. ..._...................... <br />On .... ��..� �. �.......��i -uu : C�. � �. ��,1 f .�1......... Street <br />i,ot - .......... .... - - -- .. 31ock No...........-----....--�----.......... <br />Addition .. <br />Remarks .. <br />_� <br />/. <br />---- ��--[ <br />r <br />No. <br />LABOR AND MATERiAL USED <br />......._......_....__I Lead Connection Complete <br />........................._i Saddle Complete <br />Service Cock <br />Servi�e Box <br />No. S{ours Labot ...............__...........................Cos[...................................._.............. <br />Cutin ....................Yavement....................X.................--�--.. ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />�--�----------. _ . <br />Remarks........................�--�--........................................ _...................................... <br />Order Received ............................... <br />\Vack Completel ............................. <br />............... <br />Foreman <br />