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� �� ���� � �� >`9� <br />w. o. ror+M � ` <br />, - .-CITY OF EVEREZ`T--Water L>ept. <br />Application No.�._?..:x.'..��� Date .....................1:...::.1 � <br />...............19..�' � <br />� � Install ..... ...... ..............inc;7 water service pipe <br />•/� - <br />R,�r .. .lc...-�.� s.� C ..... . ' -.<..SZ. � <_ � �.' .. .------ ........... ...._...... <br />t ' � '' <br />.y. <br />On . .. ....�lc.l.../ .. .......... . ....�.�.��C�:: .t..r.r.z.r.:.............. Street <br />/�:�L�� <br />Lot................:::......_.......... ..._-�----_... Black No..................................... <br />:!dclition .... .................f ........... . ..... <br />- <br />.....--�-� ............ ....... <br />Remarks ...............................�� :J..La.�..i��.. .c.ci t ..............----...--- <br />........ .... .................... .... ................................................................. ................. <br />-: -..., <br />_ : :.: ..........: "...:.:1..:.:.... ._...._............................---................_..............._..... <br />// — 1 _ <br />......................................................... .............................. ............ <br />Superintendent <br />LABOR AND hie1TERIAL USCJ <br />Size � <br />............._..I ;.ead Connection Complete <br />......._......_ Saddle Complete <br />................. ........................................................................Pi pc <br />................ Scrvice Cock <br />................. Ser�ice IIox <br />No. Hours I.abor ..............................................Cost.................................................... <br />Cutin........_..........PavemenL........._.._....X ........................ ._...._...............Sq. Ft. <br />....................F:.............._........ �, <br />........................ <br />....................X........................ �� <br />........................ <br />v �� <br />Tolal ........................Sq. Ft. <br />---- — — <br />Remarics......._......_ .....................- ...._._............................................._.......... <br />Order Receiced__...... <br />�Vork Completed....... <br />....... � ..� ...... .. . _......-..Farema� <br />