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9. J. PRIC! / <br />� <br />W. O. lOIIM ] �� / L � � <br />CITY OF EVEREZT--Water Dept. <br />Application No... � 4"� �1��.. Date......: �..:1.. f. ( � <br />. ...................... 19: �. <br />%; Install ........................- ipch water service pipe <br />i' ` / ���1 <br />For ........-.:.1.`:.-I..St/3. `-. :rt �.c.i'.-�..-..J... :..:. .:_._ ` � i ,, , f ; <br />r...................................... <br />On .......:'S.�.Ld�..-.! =�...'.``.�.... �:�:f�......._..�..4.<.,;st.(i ....... Street <br />Lol.............................................................. Block No......_.----....................... <br />Adclition........�.q_� ...............................:........................................................ <br />Pemarks Q _ L:.��.-.�r.......�.:.[.�.c_lt.,��.....�.1.1.t_�5:� ....:........ <br />....... ......... .. <br />. .... ... ........ ..... . .. ................................... � <br />� <br />. .................................. <br />...� .. ... . <br />_ ....................................._.... .................._ � ..(..ti....... � 1-i < <br />. ......... ...... . . . . . . . . ... <br />c r � . Su rintendent <br />I.ABOR AND MATF.RIAL <br />................................................... _I :.cad Connection ComPlete <br />_ ............................................_....1 Saddlc Complc.e <br />............:........_tt.........._....:........_. ... ._ _...__ _. �._�......................................._........Pipe <br />.............._._............................_.... Scrvice Cock <br />..............................................:....... � Scrvicc Sox <br />............................_.......................� .............._................... <br />No. How�s Laboc .........................................._Cost_................................_....._..._.... <br />Cut in..........._. __.Favemenl ................._.X........................ <br />.......................Sq. Ft. <br />.............._._ Y.......... ............. �, <br />.......... ............. <br />. _....... ..X .................... ... .� <br />... ........ .............. <br />....................X....................... �� <br />.......... ........... <br />Tntal ......................Sq. Ft. <br />— -- - -- ---------- ��-- -- "— — <br />Remarics.........._ ................:.:......:.....................:._..._......_....... -.................._ <br />OrderH:cci��ed .............................................................................................. <br />, <br />lVork Camp!cied ...:............:....:._......._........_...... �......:..i._:...:....._........... .. <br />Furemar. <br />