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��z �� <br />w. u. r�ar.� a ' ' — ��"-�S �% �� <br />C�TY OF EVERE i�"I'--V��ater Dept. <br />Q p�l-. // 33 Y ,..., <br />tl lication Dio.........:._'.._.... T1ate........'.::i:..i......:::i2 .................19...... <br />rn�r,%i .............. .. ........._..i�:ch water service pipe <br />�"^ � ,� . <br />For �.:{�,---��_:...! ���-'��'%i. � <br />_ C..-:f.�.._ .............................._... <br />� -..--.-_-..�.......' <br />.. <br />On . �.{..�.�............!..rrZl......�. i.�. ......_........_..__ ............. Street <br />�+ . `. '�........ <br />Let_C�G��......�r.E_i�-�.r.{:...._��. Block No ..................................... <br />clddition ............................ <br />. .......--� �---......--... _...... _ ...............................'---...... <br />Eemarks......_ ..................... -......._............. - -- - <br />- - - ...._.........._ ...... ..........._ <br />..... ..... ................................. <br />.... ................................... ................................................................................ <br />Superintendent <br />LAB6R AKD MATERIAL USED <br />� ..................� Lead Connection Complete <br />......._..........� Saddle Complete <br />.� ............. Scrvicc Cock <br />_......_..... Service Box <br />Nn. Hours Labor..........._ ..................._....._....Cost_............................................._.. <br />Cut!n...........__._..Favement ...................X................_...... ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />................... X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Tutal .................... Sq. Ft. <br />---------------------- __--- <br />Pe�narks ............................................................................................................. <br />_ . ................... _.._... _..................----.................................._....._...._..................... <br />.............................................................'--..................................................... ....... <br />Orderitetticed .......................................................................................... ... <br />1Vork. Completed ........................._................:..._........................ _................ <br />F'oreman <br />