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4 }19 . rW.PaAm7 <br />J. <br />S. . D. <br />P6,e <br />CITY OF EVEREZ T —Water Dept. <br />CUPPER <br />Application No-------------� ..Date ------------- ?--------19 <br />Install. _ .. ---- ------inch water service pipe <br />For --------- <br />— — --- -------------Street <br />Lot --------------- <br />------------- Block No. ---.-...---------•---- <br />Addition ---------------------' ----------- - <br />Remarks --------------- 1 �/ /7 •1 <br />....... <br />LABOR AND M.\TFRIAL USED <br />No. Site_ <br />-- _ .-•••.- Lead Connection 7omplete <br />Saddle Complete <br />Service Cock <br />Service Fox <br />_-_.-._- <br />------------ <br />/ <br />-------- ---- ------ ------ -------------- ---- --------.------ <br />No. Hours Labor ---------------- C;ft.----------------------- <br />Cut in ------------ Pavement. ------ ..___X .... ._ <br />•--' ---------------Sq. Ft. <br />-------- _--- <br />X....---------- ...... _________ <br />._..._._.. _-X.____..__-.___ .._._.-------- " <br />..._.._.... _ ________ <br />Total <br />Remarks------------------------------------------------------- <br />-------------------- ... --•.................. <br />------ --•--- •---._..._-- <br />Order Received ......................................... <br />Work Completed---•----•------•--------•---- e.M.. <br />