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w. o. roAr.l'a�, � � � J� v <br /> CITY OF EV�RE'T'T--Wat��}� ��ept. <br /> Application No..::.._:._::...::__::. Date.........---..�................ ...........1^...-- <br /> lnstall..._......:...._...._....._inc:i water service pipe <br /> , <br /> ,. <br /> � // <br /> For ..:..'::,:.L.: .......r...:......�.................... . <br /> '--......_... ....................._ .... <br /> On ...........c"..:l..::...�:.... ----..!:..::.:...:.:.:.....:............. .__................. Street <br /> Lot........................... ............._................ Block No................---.................. <br /> Addition ........................_........................_......_._......_..._...... <br /> ....................... <br /> Remarks ............................_L...�..:.........:..........�..::..:.:.......--.._. ..........._ . <br /> ............................................................................................................ ......... <br /> _............__....................... . ...............................................................----....-----.. <br /> ..................................................__................. -...... .................._..........---- <br /> _......................._..........-- ......................................._.............. -......... --....... <br /> Superintendent <br /> I.ABOR AI�D MATERTAL USED � <br /> No. ' Size I <br /> — —i--- <br /> ..._......................I........._................I Lead Cunnection Complete <br /> ......_..............................................� Saddle romplete <br /> .................. <br /> .....tt.................._........ ._.............................__..__................._..........Pipe <br /> ......._................_�,.......................... Service Cock <br /> ................... ..........__................... Ser�icc Box <br /> No. Iiours Lsbor..............................................Cost.................................................... <br /> Cutin....._....._......Pavement....................X.._.................... ........................Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> .._.........._....X.....-�-'............... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> _�— ----------- <br /> ---- <br /> Remarks...._.............. .................................._.................................................._ <br /> _..._....... .......................................... - ...........--........... - .............. <br /> ................ ........................................................................................................ <br /> OrderRecci�•ed............................................................................................... <br /> \Vork Completed.._.....__........._ ._. ._... ._.._._.. . . ..._. <br /> __. <br /> Foreman <br /> 4 <br />