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��� -��3�4� <br />W. D. 1011M ] <br />CITY OF EVERLTf=-Water Dept. <br />Application No....� �:j.. �� Date .............................. �..-...!....19.��..`/ <br />.... <br />lnstall .............................. .inch water service pipe <br />For................................................................... .......................... <br />/ �•-'� .................... Street <br />C ,�� G.... --......!..n �:¢,.�- ..........:..�........... <br />On ..........�........... � <br />1 k N -�•- <br />Lot...................... <br />Addition ......... <br />Boc o ................................. <br />Remarks..... ...... ............................................................... -- <br />�l( ./g._ ..................................................................................... <br />......................... ...................... <br />........................... -- - <br />LABOR AND MATtiRIAL USED <br />Size <br />.._,_._...,..... :.ead Connwtion Complete <br />, ,..,_.,,__„ Saddle Complete <br />. ........................................ <br />.............. Scrv�cc Cock <br />...._.... Scr�ice Box <br />i`7o. }iouf5 L3b0[ ............................................................."__ . <br />. ........................54. Ft. <br />Cutm ....................Pavement....................X........................ �� <br />....................X........................ ......._............... <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />Total ........................Sq. Ft. <br />---- - <br />Remarks ............................................................................................................. <br />Order Received ............................. <br />\Vork Campleted ......................... <br />...... ........Forema� <br />