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W.D.Form J �wro n.�a;� - � �" � <br /> CITY OF EVERF i T-••�Va er Dept. <br /> Application No.�.�� � ��a <br /> atc _. ........ ..... . 192.. '-?r. <br /> �e Install.. � ✓ �� inch watet service pipc <br /> For.._ ... _1. ._� <br /> __...4. ..o--,�.�� <br /> _ .. _ <br /> On ......... . . )..7'_0....i� <br /> __ . __ _..........Stree[ <br /> Lot.................._�.d_ ................ .__Rlock No..... .._� 1 <br /> _. .__...__ ._...__..... <br /> Addition............._....._..................................... <br /> .............. ............................__... .. ...... <br /> Remarks................ <br /> .............................................. . ......................................._..... <br /> __....__.................._........._....... . ..__..___ .._...._...._.._......._........ ....._. <br /> , _............................. ..__..._.._.. ..._..._......................__........... ._ . ........._._._...._... <br /> ................ <br /> . _ <br /> _ .. __. .. ..... <br /> ..... <br /> .. ..._... <br /> � � � _ ��� �-,�— <br /> --_- LABOR AA`D !IfA'PER*e!?. USF,D-�=----__�-_ __ �__- <br /> No i - �S�-o -.-- ._ _�_ _ . . . <br /> - -- - - - -- ---- <br /> T ' ac G _ -- -- --- - --- -- --__ <br /> � , � . I.end ('onnection Complete � <br /> � - a Sad�lle CoyiPlete <br /> { .... ._.....tC. .�.., t r ._rI C <br /> C � <br /> ;"'i c,. . .... . <br /> , ......��Z�R..�.1..�__....................... p <br /> � ............ .-s-. " . . Service Cock <br /> . ... .�?'�•.-:�� . Sen•ice Box <br /> � `' ........... . . . G . <br /> i <br /> .. _... ..__.... ................._........_..... <br /> . ............................................................. <br /> .... <br /> �. . ��............I......_............_ ........................................................................................................... ......... <br /> �.�..J.,a. .......... �i ........._.......... . ............................................................................................................... <br /> c . ....................... .............. . . <br /> . ...... ..............._.__.... <br /> _ . _.._ <br /> �. .. ' —_. D ____ <br /> " � � No. Houre Lahor..........al� —��------� --- <br /> y��p�,�; .........................Cast........�._-. <br /> ............................S�:..Ft. <br /> � -'�` Cut in..............__........Pavement....................X......... ........... <br /> ....................X........................ .................... �� <br /> �,' ....................X........................ � ,� <br /> ................... <br /> ....................%....................... ., <br /> . .................... <br /> ��;r`'�. <br /> Totnl <br /> c.—_�-_- _-_- <br />