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. - � f � �� � � <br />w� o. ronw � �', — �j! � fj� <br />� " CITY OF EVEREZ"I'--Water Dept. <br />ApplicationNo.�.!.::�..:�::5..... Date........:�...::.l..-..r:�� ..............._19...... <br />Install ...............................inch water service pipe <br />Por ( ...................... . . ......................... <br />.......... ....: ...................... <br />.� �,f�............ :. . �,i <br />On ..._......7.''../. -- ".--t<,r..'� _ �.;ts.:.. J�..::_,./.-i <. r- . �... Street <br />� ............... _, ... ...r........_.. •-• -- <br />Lot............ ........................................�--...... Block No.............------............---�•- <br />Adclition ................ <br />Remark; �...... r-..... <br />� /�,��� <br />(�y <br />Size <br />LABOR 9ND MATF,RIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />Service Cock <br />Ser✓ice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................7C........................ ........................Sq.I't. <br />....................X........................ �� <br />........................ <br />....................X........................ �, <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />--- — <br />P.em arks ....................................................... ..................................................... <br />Order Received ............... ............... - ._............. <br />\Vorr Completed ................................................... <br />..-----....---.. <br />Foreman ��� � <br />