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'� 1.�ieLe1�16.9:-5i7 •� '�- v . <br />W. D. Eyrtn 3�. . f ��{�� r. <br />- CITY OF EVER�E�i �7i --Water Dept. <br />�� �� <br />� -� `__. � <br />Application �To...�-c--.-.:.'. Datq ......................_ ..�..i..........19.;t:.�, <br />' .:'� �I..:�........_incn water ,ervice pipe <br />..._._.._ ...:.......... /........� . , � f .�� <br />� / ..._�.:..:.:� -.:_ :..:.....:.::.-........................... <br />� ns a <br />For l_.._��._�. . <br />�.,� � ' __. _ <br />On .... ,. �.:...' ................................. ...... Street <br />.:- .._.. . <br />�� -�1 <br />Lot ......................::...................................... Block No..........�..�„- <br />� �� <br />. ............... <br />. ...........� J !` ..............'..............::............................... <br />c ition ........ �... _..._/ _._ .__......, , .- � � � � , il <br />Remarit; 1�.�. :� .::.:.::::.::.'...:'_:_�__:.......... - ........._�_< . � ; ; • _... <br />.......��.1 ......... <br />. <br />...................._.........................::.. ....--........................................_v........... <br />-- --.._._ ..............._ - ..............................._........... --........../..a........-- _ ) . <br />�% �f.._� . <br />.......- ....................... ................................ _........_................ ...,.........:..:__/ . <br />, <br />Suparintendent, � <br />_i' <br />I.ABOR AP:D 1SATERIAL USED <br />No. I Sizc <br />— _---_— <br />... ._........._ ..............._..._......__..'� Lcad Connection Complete <br />......................................_........_._..I Saddle ComPlete <br />ipe <br />Service Cock <br />Se�vicc Box <br />IQo. Hours LaUor_......_ .............................._...Cost.................................................... <br />Cutin.._ ............._Pavemcnt......_.......__.X........................ .................._....Sq.Ft. <br />� �� <br />....................X........................ „ <br />........................ <br />Total ........................Sq. Ft. <br />— _ — ..— <br />�— ---- �. . . -------- <br />R�marks.::::..._:.__ :.............................. _......_.............. _......................._. <br />Order Received.._..._... ...._. �..._, ..............._.:..._..,., .,......_....J:...._._.... <br />\',"nrl; Cemi leted.....a::...:..�...._..i'�...;�.....:.:.. ' ......%.\........... . <br />. ._.__.,. <br />�. h'nreman . <br />�� <br />