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i <br /> , <br /> � <br /> ; <br /> _ ---- <br /> . '� <br /> / �� �� ' '' � - � I <br /> w, o. r¢r+ �� � ✓ 1 � <br /> ' 'CITY Ci EVERE7T--Water Dept. <br /> Application No.�...?'....i":.2..1. Date.........._�S._....�......................19..�' � � <br /> �. 7nsta1l................... >.. . inch water service pipe <br /> . /i j <br /> For .......L..:�.1:?z;.:.........G:._'......_..z4..�,:...,.:..ct,:.'................................. <br /> '7 7 .•. . i) , <br /> �Il .........a.l-..<.z.G...:.�.........L.1,�_.:_c.r._..r::r:c.:-:f................................. Street <br /> Lot................................................:............. Block No...............---...---............. � <br /> !ldditio:i ......................................................................................................... <br /> Remarks ................................/f.......................�................................................ <br /> ..............................................�...�(....L�..t�:t.:::..:t..:.:.,r:_!:.................................... <br /> ..................................................................................""...............""""".............. <br /> ........_........._...................................................................................................._... 1 <br /> .......................................................................................................................""" <br /> Superintendent <br /> LABOR ANU MATERiAL USED <br /> No. ' Size I <br /> --- <br /> ......................................................�Lcad Connection Complete <br /> ..................................................... Snddlc ComPlete <br /> .......................ft............................ ........................................................................PiPe <br /> ..................................................... Servicc Cock <br /> ................................................._... Servicc Box ', <br /> No. Aours I,abor..............................................Cost.................................................... <br /> Cutin....................Favement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --------------- <br /> Re m a r k s............................................... ............................................................. <br /> ....................................................................................................................... <br /> ......................................................................................................................�--•-• <br /> Order '.;.eceived................................._................................................ ........_ <br /> \Vork Complcted...._........................................................................... ..._.... <br /> Forc an <br />