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'�--�r 7 7 ' ✓ ✓ <br /> .. J. Pfi1COC / • / , / �'�� . <br /> W. �. �ORM � ��� <br /> CITY OF EVERL fT--Water Dept. <br /> � �t-^s.l tt:�� � �nBS <br /> �A�pl�on Nc��-�_�...�._... Date.................................._.....- ..19...... <br /> Iastall.....................�....inch wateT service pipe <br /> �1'-� ' . • ,� . 1 <br /> For .... ..�.:..lc.�:z` �—r.��......_/-�—s�..-c.C.:�:�:::.. -_. - .. <br /> �/ _ , <br /> �/-7 _, f L_ .........Z..:1.1..`Ct:.:�..���..:................. Street <br /> On ... .......:. .�.............. <br /> I,ot......J�...2.3..'.�.................................... Block No..-................................ <br /> Adilition .......................................................................................................... <br /> Rcmark, ....................... ...................................� -.................................... � <br /> ....................................................... .................................... .......................... ' <br /> ..................................................................................................................�-�-- <br /> Supercitendent <br /> LABOR AND MATERIAL PSED <br /> No. � Size --------- <br /> --.-- ' <br /> ' ,,,,,,,,,,,,,,,,_T.....—. Lea� Connection Complctc <br /> I ......._.I Saddle Complete <br /> ..............................._._....... <br /> .......................f t........... ................ ........................................................................Yipe <br /> ,; ......................_... ....................._.. Servic. Cock <br /> ._..._.... ._--..._..._....................... Seivice Aox <br /> ...........................I........................... ............................................_.................................................................. <br /> _......................... ..........._.............� .........................._.._................................_....................................._..... <br /> .:o. Aours Labor..........................._.................Cost..............................................__. <br /> Culin....._....._..._.Fav^ment....................X......................_ ....................._.Sq.Ft. <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ .� <br /> .................._.. . <br /> ...................X........................ �� <br /> ........................ <br /> 1'oto 1 ........................Sq.I't. <br /> -----" -- <br /> Remzrks................................................................................ .......................... <br /> _. ......... _.................._........_......- ........................_......................................... <br /> ..................................................................... ................................................ <br /> OrderNeceived....................................._........................................._ - - .... <br /> \Vork Completed...................................................._................_._................. \ <br /> Fareman I <br /> �� <br /> - _ 1191P'R7Y —I6'S:' __-""`4i'�'�''i� <br />