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� / <br />!•.. �::.,�.�, ; iaro u.iaz, � � =. <br />` 1F EVERE'TT-•-Wa*er Dept. <br />Applica[ion t�. .' F �� g,� �'� 1 � <br />'s�� Date:..........._..____. _ 192.`-�...... <br />� Irstall ._ �1. �I'� __ inch water servicc pipe <br />For _..�p-�.,.t.,l� .G� ,_. .. .p�0--�`!..'a--?"�� ... . _ . ._ ......_ . <br />On...__...{-k�...�'.'—...a......�._.__.C1r1-'�-�. _. ._ .........._........Screet <br />Loc............1'..-1..4--.......... _.... _.. Bl«k No..... _... �.. _ , .._.._.......... . _._ _. <br />Addirion_.............__..._..........__ ....... .........._ .................__.._...............__..... _ ..__ <br />Remarks_ ..............................__....:..............._..................... __....................................__... <br />_ _._ _..._.._....._....... ___.....__ ......--......... _............__......._....__..... <br />......._.........__ ._...._ .... ........ ......_..........................._ ..... ......_ <br />__ ............. . . .. .............. . .................. ...... ......... _...................... <br />�D ...�-.... .i. . <br />_.. <br />, 5 n ent �a-!/..Q�� <br />_'_ __. . __-_ <br />—'_- ...—'_ __'__"'—." __.- _---_— .- . ,_ _ _.��.-_ . <br />LAIIOR AND �IATERiAL CSt�.I <br />----- - <br />-- ----- -----�— _ .. <br />No. - . _. .. . _. . . . _ <br />-- - ----i- Size � - - <br />���� - -- --------- ------ ---- - --- <br />����--���-•---��•••�I�-� 1.'--�CFF11. Lead Connection Complete <br />. <br />.........- :...............I.h:�.a'....._._ Saddle Complete . <br />., <br />........`:.�..._...ft.._.._,x...._..__ ..:.�.:_�{:�Y..' ..................._..........PiPe <br />� ..............I-.-X.............. Servicc Cock <br />.:.............. i.tiis.� G..... Service Box <br />. <br />L ..................:r............_ C1C-,�c�rt...._........................_.............................................................. <br />y , . <br />..:.....� ............._ ..�-.x.y...... _ rt� <br />.......................... ................... <br />_ _ ............................... ___................... <br />_.., _.._ . . ._. .. <br />V � ' <br />Vo. Houra Iabor............�U ......................Cost......(?.....—................................. <br />__ <br />Cutin......— .................Pnvement............_.....X........................ .................._Sq. Ft. <br />....................X........................ �� <br />.................... <br />.....................R........................ �� <br />. .................... <br />....................X ....................... ,� <br />. ........_......._. <br />� Total ._..59. 1� i. <br />-_ _- ... <br />� '= - _ � -'--_ - -- <br />�O�f x _—= -- <br />Remar sFP,i{!,���ltNu ._ � ..,. <br />L���( _ _ ... . <br />... .. _ . �� 9"�LL'aC.cK.¢._ �:U£mt ycf�. . <br />. ..... ................... <br />� <br />._._....._. _..___ .... .... ..... . ___ . _ .._.. .. .. . <br />Oruer Reccivel <br />. _ _ _. . <br />. <br />\�/or4 Completed i Y(1- �V ' _ 1�7� �.7�� f�,! <br />urtm�n C /�' <br />