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/ 7.3ri, & <br />W. D. ronr. � �O � � � �'� <br />CITY OF EVEREI T- Water Dept. <br />Application Ido..L ;l:.... . Date.............. ...:....:a..............19...... <br />Install ...............................inch water service pipe <br />............................................................................................ <br />On ...........................4.. �'.._.....0 1��2C.tx1.....1............. Street <br />Lot.................... ................................ ........ Block No ..................... ..... ....... <br />Addition..................... _.................................................. ................................. <br />Remarks ........ .. .. .. .. <br />(I !/._._ .... ............... ....................................... _......_........._.. <br />No. <br />LABOR AND MATERIAL USLD <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .............................................. cost ........................... ... _................... <br />Cutin .................... Pavement. .......... _....... X ............ ..._....... ........................So. Ft. <br />..........X..........._......_... .. <br />.................... X............ ............ <br />Total ....................Sq. F'. <br />Remarks........................................................................................................... . <br />-............._..................................................._................... <br />OrderReceived ............... _.......................................................... <br />WorkCompleted........................................................................ <br />