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V)�D Yorm�M ` i.•. .� : . � ' <br />��'�F EVERETl'...Water De t. <br />P <br />Application No ....................:.... Date................... -� --................19...... <br />Install ............:.:.........__....inch water service pipe <br />For........--- ......................................_--..............................._.........................-- <br />On............� ..........:.:...:..............'.._:.................:.....:.....':..::................. Street <br />Block <br />Addition......._- -- --�� ............................. <br />Remarl.s ................1.................-- .............:...' <br />� Superintendent <br />� . LABOR A\D MATERIAL IISED <br />. . .. _ No._I Sizc — <br />........................_..--..._._._.........._ Lead Con:�ection ComPletc <br />..................................................._. Saddle, ComPlete <br />, ,, , .,:... G'. <br />....................._ft.............::._..._.... _..._:.�.........................................................._.Pipe <br />...................................................... Setvicc Cock <br />Scrvice Box <br />. . No. 1[ours L�bm•.....___ ...................................Cost..................................................._ <br />Cutin......___........Pavement_ ..................X........................ .............__.......Sq.Ft. <br />,: �' . .................._X.._.................... ........................ �� <br />� ....................X........................ �� <br />........................ <br />....................a........................ ........................ „ <br />Total ........................Sq. Ft. <br />--�--------- <br />Remerks......- ............._...................................................................... ..... <br />............................................. ......................................... . ............................ <br />..- - ..._ .............................................. -�-� ....................................................... <br />OrderRece�ved .... ...........................- -. .......................................... - --� <br />/,,, . �: � . <br />\�rork Co�,pleled ........................_:.........:_....:.................._...--...................... <br />Foreman / <br />� <br />