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r <br />W D. Fonn 3 1500 3-1-17 C. P. w <br />CITY OF EVEREM-Water Dept. <br />Application No.__7892. - Date --- _.C_3_190-`f <br />Install_ --- inch water service pipe <br />For ----- <br />` <br />On--- -------YZ�-�< �.• ---- ----- Street <br />Lot .---i._ /� ---- ------Block No.Ij <br />Addition ---- <br />Remarks, _ _ _ _ <br />--C-------- ------ & ----6-� <br />' - 3up-e tlSit endcn--��f <br />LABOR AND MATERIAL USLD <br />NO. SRE <br />..____ ___ a.____ Lend Connection Co iplcte i r <br />-._4.. _- Saddle Complete <br />-- �------ ---- -------.._ .Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor ------- _ 'P <br />Cuts in ---------------- Pavement ---------- X------ .--- _._ -------- Sq. Ft. <br />_._..___..X--------- • <br />__.X______________ <br />_._ _.. X__---__.__. _ •, <br />Total. .----------- Sq. Ft. <br />r <br />Remarks _ ladle•. )_; .': ---- -�-q- <br />----- - ------------------------------- <br />- - <br />Order Received ------ -------, - -- --- --------------- <br />Work Completed _B.- <br />----- <br />^ Foreman <br />