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3G35�' -� <br />B. J. PHIC� ^ ' . <br />M'. O. fOHM ] � <br />CITY OF EVER rTT--V'Jater Depr., <br />pP � .; .t 19u1 <br />; f� ... Date........... , ' <br />A lication Nc ..:.... ...... ..........._......................19.._-- <br />, Install ...............................inch water service pipe <br />� .� -' ; ; <br />For ....:.:..::....._!.. �....1.: �`.. �_!:z '.. `_':: °::.s;.......:.._........................................ <br />O�i _ .............�:�.��...:..:f.._....��,.:i�....�..�._'................................... Street <br />Lot............................................................. B)ock No...................................-- <br />Addition .__ ............. <br />Remarks .................. <br />................................... ..... ................................................................................ <br />i � <br />Supe:intrndent <br />LABOR AND MATEAIAL USED <br />Fo. i Size I <br />Lead Connecl�on Cm�ip2ete <br />Saddle Complete <br />.'ipe <br />_�.__........ Service Cock <br />................ Service Box <br />No. Hours L�bor .............................................Cost.................................................... <br />Cutin ....................Pavement........_..........X........................ ........_.............Sq.Ft. <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />... ................Y........................ �� <br />............. .......... <br />Total ........................Sq. Ft. <br />— ------------ <br />'�. . : / �����..i ............................................... <br />Remarks ....:.....:.:..�.,..........:-:•............. ..... _..:... <br />,� � <br />. L.C.3z �.:.s............ �.kr:::..a:..........._:?'t... P.:.........._......... .._. <br />... __...__. ..... <br />OrderRecei��ed ..................................................................... ................... . <br />\Vorl: Comple:e� ........................................................................................ <br />Foreman <br />