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5 J.Pnehe1M7�9a� �� � � V�/ <br /> W. U.F.�+.M J ' + <br /> CIT�' C�� EVER�TT�-Water Dept. <br /> � <br /> , ,y ��_ . C—� <br /> Application No.,IG�..��... Date................_���:....:�.....---...19.�.. <br /> � „ <br /> In,tall..... ......?:................inch water service pipe <br /> Fer .................................................. ..:.. <br /> ...... <br /> ..... ..... . . . .. <br /> � o / <br /> .......... ...... <br /> On ................d...�.1/l......y....,�..:.'...l�":..:.:.�.:�:�..��....... Street <br /> Lot...................................5�'..................... Blobk No._..._��.�r�_.......... <br /> Addition ...........�,.�'::.a............................................................................... <br /> Itemar]ts ......... - .:�-.:'.. !: .:�::'...:_?::.::.a................�....................... <br /> .................................�--..................................-�-�---.....---�-•-...............---............. <br /> , <br /> ., ; ................. ................_i..,�---�� <br /> .-.-.:........:....... ,..............._,...�.......--.............--- <br /> - ; ,, � ' '�1 X!1 l.�.....,' <br /> "' <br /> . <br /> �� /�.. „ <br /> , � ' . �f� t�,_.t. <br /> � ....,�..........,_,�.......................�..:..�. .........:.....,...:............ .......................... <br /> � - � ��, / , 1 (;�._Superintendent <br /> / ;/� <br /> LABOR AND MATERIAL IISE � <br /> No. Size i <br /> -- ---- <br /> ........................... ........................... Lcad Connection Complete <br /> ....... . . Saddlc Complete <br /> / <br /> ....................... .... <br /> .............. <br /> ..... .�..........ft...........f� .........(�,�je� .... ...............................Pipe <br /> ........................... <br /> ......._(...._......._. Servi^e Cock� <br /> ...................................................... Servicc Box <br /> No. Ilours Labor..............................................Cosl.................................................... <br /> Cutin.....__...........Pavement..._...............X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — --------- � <br /> Fc m a r ks.................... ........................................................................................ <br /> ....................................................._.................................. <br /> .. .................................................... ......................................................... <br /> Order Rcceived........ . ............. .........................,. ......................... <br /> . . .....,....._. / <br /> . ^ �� /> <br /> �Vorl: Completed.. . _r....��......�S.t:1......J;r-�r,.?1�C�:-�..y... � <br /> Foreman�� <br />