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o � <br /> �)D Q��M7./63 53 � . �. <br /> C;ITY OF EVEREfiT--Water. Dept. _ <br /> ? ., <br /> J <br /> � • ��..`"...�......is...... <br /> Application No._�J................. Date�.....:..-..........r... . <br /> ' / ., <br /> -� Install...,l��.....{...........inch Nvater service PiPe <br /> � - <br /> u , ;� ,,_� �.� ............. <br /> . . � ...................................... <br /> For .......�.........�..,.:.L............ . <br /> On ............r....F�.. .� . 1 � ti'.�........._...........................� Street <br /> .�. .........�--::.._.: . � <br /> Lot.......................�1.�........---........... Block No......^...1.:: <br /> ................ <br /> Addition .......................................................................................................... <br /> ar �::.......... .�...... � <br /> a , <br /> . ... ...........--.,/...,. .................G ,, , ..�. <br /> � � L � , . . � — ,�......:................................ <br /> �r P' �/�:::::::::::..........�:_`.:::.:..:::..:::::::..�::::::.:::�:::::.......................................... <br /> ..., <br /> iJ'n........ <br /> .......µ..^...._�i- lf.A. Ll /l f/ . i. ..i ] <br /> .... .:.................................................................�.................. <br /> ...............�.L..... <br /> ............�................ . <br /> / ... <br /> .... ........... ...........:............................... . t <br /> SuP�'intend ., <br /> �`/i ��� � �_ :� , _ <br /> LABOR AND 1KATERiAI' QSSD <br /> -9 -7� <br /> No. Size I _ <br /> ................................... <br /> ................... Lead Connection Complete <br /> ................... <br /> ...................... Saddle Com_r.lete <br /> ........................................................................PiPe <br /> .......................it............................ Service Cock <br /> ............................ <br /> .......................... <br /> ......................... Service Box <br /> .......................... <br /> . No. Hours Labor..............................................Cost........................................5....Ft. <br /> ........................ 9. <br /> Cut in....................Pnvement....................X........................ �� <br /> ....................X........................ ......._.............-' <br /> X........................ ........................ .� <br /> .................... �� <br /> ...................X........................ ........................ <br /> Total ........................Sq.Ft. <br /> -- - .� ............................................................... <br /> Remar s..................................... <br /> ......... <br /> ......:.................................................................... <br /> .......... <br /> ................. � <br /> OrderReceived................ ........ ................................................. ' � <br /> ,; ; . ... _ <br /> . <br /> ...................... . .. <br /> \5'ork Completed .:......... -���•����������� ' Foreman <br /> . � <br />