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.r .. /���� � <br />c" ' ! —� <br />. . W. D. IONM , __; -; �._�-z. <br />CI�I'Y OF EVERE"1�I'--Water Dept. <br />-> _ <br />Application No..��:_'� 5.-�.. Date.......:..'.......� ...........................19.`.;� <br />Install .............................. .inch K•a!er service pipe <br />For............. ....................'..................................... .........---- <br />:., i:-,� .r � - <br />On ....�2.......%�.:�.. _...-'`-�.ti....... ................... Street <br />�.. <br />........ <br />Lot..............................`--- ........................ Block No.---------•----............... <br />Addition......................................................................................................... <br />Remarks......... . ....................................................................................... ...• <br />..................................... .......................................................................... ..... <br />5uperintendent <br />LASOR AND MATERIAL USED <br />Lead Con�ection Complete <br />Saddle Complete <br />Servicc Cock <br />Service Box <br />No. Aours Labor ..............................................Cost.................................................... <br />Cutin ....................Paveaicnt....................X........................ ........................54.Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />Re marks ...... ................... .................. ..... .............................................— <br />Order Received <br />�Vork CampleG <br />. . .. . .. .ri4..��. � .. <br />