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;..c; <br />�,�o�y <br />w. o. ro�3 <br />S' 2 7 � ,` <br />' -CITY OF EVERF.�"I'--Water Dept. <br />- <br />Application No..I..�: �� .%._%r.�; Date......._.j.:.:�� ...........................19.�� <br />/ ) 7asta1l .... ... . ... ....... .. inch water service pipe <br />: �/ '-, - I <br />Far�'...^dr.� !✓�".)/....../1�.c1.:f.:.CsiYl ....................................... <br />r � — <br />On .......��..:''..::7f.%...........11.�Zi� N<Lc.�.a:zF_.......__......_..._.... Street <br />Lot.............................................................. Block No............._....................... <br />Addition.......................................................................................................... <br />Remarks ...................... . . .. <br />..... ..... . .�...... .. ..........................•---................... <br />- ..................................C::, j:a�.�.:.�::•�..�t..L.:<.z•. �..........................---.............-- <br />� ': <br />..: :.: ....................<.._......_...........-- ......._...........----..........................-----��--�--••--��- <br />i `�__-.. '...`%...-..i:'_ �'�.Y......_ -.....- - - -- _ _ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />... _ ...................... _.................... _. <br />Service Cock <br />Scivice IIox <br />...........................� ..........................i ........................................... <br />No. Hours Labor ..............................................Cost............................._...................... <br />Cutin_........._......9avc�nent_._..._..........X ........................ ..................._...Sq. Ft. <br />....................7{........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />_ ------------ <br />Remarks......._......_ ......................................................... —_ <br />....................... <br />_ . ................_ _................................. _................._............._..........._.... ............. <br />Order Reccived .................................................. <br />1Vork Camrleted......__.........._ ....................... <br />............. . / <br />Foreman <br />