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1 <br /> r <br /> /����6/ . � � ;i��, ' <br /> w. n. roaw o <br /> � CITY OF EVERE IT--Water Dept. <br /> Applicatimi No..:'..:i. i.._�`.�: Date...............1......L........._.._......._19....i. <br /> l �, I�stall...............................inch water servicc pipe <br /> , . , , ., <br /> Ror -...-1%:. � ; _ <br /> �._..:...._._::.t................�.., - - - <br /> ........_..... - . .. <br /> �....................................... .. � <br /> On ...... ._..�..:,':...:�-.1...............�.�:"'...._ :.:.:.......--....................... Street <br /> Lot.........................................................- Block No...--------�--................... <br /> �ddition ..............._........ <br /> ...................................:..................................... <br /> Remarks ' � • <br /> ....-................._�. - - <br /> ................. .._.......:......................................... <br /> ................................................................................. ......................................... <br /> ............................................. � ......................................_........................._. <br /> ................................. ................................................................................ <br /> Superintendent <br /> LABOR A2rI) MATERiAJ, PSED <br /> __No_ ' Size j�� _ <br /> ��������-��_�_�����:�-�I Lead Connection Complele <br /> Saddle Complete <br /> .......................iC.l.......................... ........................................................................Pipc <br /> ........_................I....._......_.......... Servicc Cocl: <br /> ...........................�_............._,_....... Ser:ice Box <br /> ................. ..........................1 ................................................................................................................ <br /> N,�. Hours Labor..._..............._.._...._..............Cost_............................................... <br /> Cul ia....__............Fuvement....................X........................ ... <br /> ......................_Sq.Ft. <br /> ....................�i........................ ....................... �� <br /> ................. ..Y........................ ........................ �� <br /> ....................X........................ „ <br /> ........................ <br /> Total ...._..................Sq.Ft. <br /> '--------- --- <br /> Re�n a r ks............................................................................................................ <br /> ._....._.................................................._....._....................................._................. <br /> .............................................................................................................................. <br /> Orc:�r N:ceived._..........._...................._....._.............._.........._........_-.-.-`..__- l <br /> 1Um9c Cumplcted........_........___..... ...... _....._.. . ....... <br /> ... _ _... ..... <br /> Foreman <br />