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A�DPFurm M7d6�9b A �l ` 7 �. " -i ' � <br />V y <br />CITY OF EVEREI�'--Watcr Dept. <br />. - . � <br />_ <br />Application No..�.Cr...:'_. �..l�.... �a}e ........ ..............:��. .. �........19.�'...1 <br />,� � Install...,;nc.. t._-e ..............inch watcr ser��ice pipc <br />� .'_ �' i:.!..[ ...:...:.....:.....�:.....:.....:.................._..................-- <br />For ......_.......;..�............ <br />On .....>'.:.,3...Q...:?..........1..:..�:' :.::..::...::...:............: �"................... Street <br />Lot.............................................................. Block No...........................--�-��---� <br />Addition.........................................:............................................................. <br />Remarlcs• '............_ :...........:_.................:..:..:...............:........:...::....:. ' ' <br />........... ................. <br />...............:.... �.. <br />.......J . <br />/ '� <br />...........:.....__...... <br />Superintendent <br />LABOR AND DSATERIAI, USED <br />No. ��i Sizc <br />-----�-J--- — <br />...._ .................._I......................_...i Lcad Connection Complete <br />. ........................_�i S:�ddlc Complete <br />.......................... . <br />....................._ft....._.....................' ...._................._.._....................... <br />..................._.............._................. Scrvice Cock <br />.......................... Scrvicc Box <br />... _ ..........................._......... _.......... <br />No. Hours Labor ..............................................Cost......................................---........... <br />Cutin .................._Pavement._........_.......X...._......__........ .._................_..Sq. Ft. <br />� + � �, <br />. � ....................X........................ ........................ <br />, <br />� �• <br />, , � . ....................X........................ ......................_ �. <br />.,_. � . � r ........._.........X...._.... _ ................._..... �, <br />, . � � ............ <br />� � � Tolal ........................54. Ft. <br />------- --- <br />�� / - •� � �� ' <br />-- Remarks...�f..:C......'` :................:....................................................................... <br />. ...........................:........................ .............................................................. <br />OrderRecci��ed ....... ..............._...........................................:............._......... <br />�Vork Completed..:.��_�.� ".,�;�� .....................:.:......:.::....'............:.:....... <br />Foreman <br />�� <br />