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�'�'3�'G ,:�,Jf <br />w. o. r �/ <br />` `'CITY OF EVEREZT--V��ater Dept. <br />Applicafion No.L.�".'._,-;..,f�.( Date........_ �j..� -� - <br />. ........................19.. �- �� <br />,� Install ...............................inch water service pipe <br />For ' i <br />,� . „ <br />L..!��..r—S.:t.:_...:,,.�.:t!C eY� Gl.�.a.._ ............................................. <br />J ... . ..... <br />� � .- , <br />O�, - - <br />...........:....:.�..:.......1..:;............... .�?1..::.LL..r�;,.::::..._............. StreeU <br />r <br />Lot............................................................: Block No................... <br />................. <br />Addition..................--..._._............................._.............................................. <br />Remarks............ ................._.-...............................................................-•--�- <br />. .. . . . . ...... ...................L .1:.� ::.:�.:.>.��..:��.�.:.::............................... <br />_ ........ .... .. . ........ _ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size i <br />......._ ........................................._I Lcad Cnnncclion Comp:etc <br />....................................................� Saddlc Compi^te <br />._���.�__.._I Scrvice Cock <br />Scrvice Hox <br />.. ................................................................................................................ <br />� <br />No. Hours Lsbor ..............................................C.�st.......................... <br />.......................... <br />Cut in ............._.....Favemcnt....................R......._ ............ ...Sq. Ft. <br />..................... <br />....................X....................... ......._. ,� <br />.............. <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Fl. <br />— ---- <br />-----' — <br />Reniarks .........................._......._.............. _ -- <br />_ ......................................... <br />— - - ................................................................. <br />OrderRecr.i�•ed.._.........._ .................................................... <br />................ <br />\Vork. Completed ..................................... <br />................. _........... ......_.... .. <br />Fo man <br />