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28 2� ���� _� <br /> •w..n. �� ' " <br /> -- rCITY UF EVERE'�"I'--Water Dept. <br /> � . <br /> AFplica:ion No.�.ti,r�f� Date........cS:..:...�........................19_�-J� <br /> For ...1�./ �' tall......,k. ..................�nch water service pipe <br /> . .L+�{../::: c.......�_'R'...:i.L............................................. <br /> On ..........✓....��:..����.c�:.r:�.�:i:s%............. Street <br /> .........-- <br /> Lot............................................................ Block No.....---.............-�----.......... <br /> II Addition ........._....._........................................................................................ <br /> Rr.marks ........................... . .. . ........... . ..../...---............................... <br />�il �� .............................................�.�..�zmr?;i��?/................----................. <br /> I ............................................................................................................................. <br />��, ........................................................................................................._................... <br />� ................... ......................................................._.........---....... <br /> _........-'-'-'--•--'---'-- <br />� Superintendent <br /> I _ <br />� LABOF. ANU M:�TER'L4L USED <br /> No. Si2e � <br /> --- --- <br /> ..__.............................................._� :,ead Connection Complete <br />'. ......................................................� Saddle Complete <br /> .......................1t._......................... ........................................................................Pipe <br /> ...................................................... Service Cock � <br /> ...................................................... Service Hox <br /> INo. Hours i abor......................._.....................Cost....................._..._.._................... <br /> Cutin........... _......Pavemr.nt....................X........................ ........................Sq.Ft. <br />. „ <br /> ....................X..........._........... ........................ <br /> ...................X........................ �� <br /> ....................... <br /> ....................X........................ ........................ <br /> �, <br /> Total ........................Sq.Ft. <br /> ——kC� -- ----- <br /> 7.. ....J . ................ <br /> emar ,.. <br /> :, rf,�.-..........�...� ,� � <br /> . ........ ...� ........... ... �.......�... ........ �::�::::::_::::::�:::::::::::::............... <br />� .................... ................. .................................... ............ . ..... ..................... / <br /> OrderReceived............................................................................................... � <br />� \Vork Campleted............................................................................................ <br /> Foreman <br /> � <br /> � <br />