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; J.P��:y-Iy].'chfd+ � I V . ✓ _ ✓ <br />N U Fam ? <br />CITY OF EVEREZfi--VVater Dept. <br />Application No........�....�.:�.�tl... D•ate ......................�...:..�'.�..._191_'_ <br />Install.........:I=��...�.,........inch water service pipc <br />r�r ..........................._.....:............................._..........._.................................._. <br />On .................s3.`.(.. �..:J........./�`.'...:.,.7":':.�.............................. Street <br />Lot............ � --�- -- . ............................... ` Bio�k nT,�_.................._............... <br />�ldditian ........ ..._{ .............._........_..... .._. � 7 , <br />... . <br />- -� �- ... <br />7�._-- - � ' . <br />Remarks � •', . . _ ....�:r........._'.:. i:._....._ ::.!...L...e'.,i�,. � <br />...... . ..:.� ...........:....................... <br />................................ ._............ • <br />_ .............................................................__ ,....... <br />_........._ ............................__...........--...._............__............ ��....:.........:....... <br />Superintendent <br />LAI30R A:VD 61A'PElil91. USED <br />ro. 1 Size � _ ___—.-_____— <br />----- - --'-- -- <br />...................._ _......__.......__.....�I C.caci Conneclion ComPlete <br />. _ ._...__.....I Sa; dlc Complete <br />__ ...................... ........... <br />..._ _ ..............St............................� _..._......................................................_......._Fipe <br />._....._ ...................._...................... Sr.rVicr CoCk <br />.. ..._ ............................._.............. Scrvicc IIox <br />...........__ ........................................._.........._................_..... ._......_ . <br />.. _ _._ ..........................._._.. ....... <br />... _ ......................._....._ _....._............................._-.... .. <br />.......... _ ..........................._..__..._._......_............................... _......._... <br />�I�. Ilows L�6or......._..._......._.._...._ .............Cost..._._................_.................__..... <br />Cutin..__.._._..._.Pavem�mt ....................X.._....._....._...... ............._.........59.Ft. <br />3/ . � „� <br />. <br />� • � , _ x ........................ ................._..._ . <br />_ — <br />l - <br />,, „ <br />X .................... .................. . <br />� �� -i k —�t., Z. �, <br />_............ �. ........................ .................._. <br />Total .......................Sq. Ft. <br />— <br />/ � �. f. ,;•.�.,,. _ <br />Remarks/.�2..........L.....s;..:�:�..:.:._.........._ ................................................... <br />__.._ ........................._.........................................._......... - ................ ........ <br />Order Reccivecl. ._._....._ ............._........_..............:.................,._......._. ... <br />, , <br />. , ,. . /; "0 :':I - i <br />��ork Completed..,:......c._"�.�........._�......_._........__-.--G"j'::.._.._..._....:...._ <br />Foreman <br />