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W. O, fORM �• <br />CITY OF EVE.RETT--`Xlater Dept. <br />L i-:- <br />Applic.^^!an No./. - .`.'.. �. Date ....... 1962...................19...... <br />........... <br />Install ........:............... :inch water service pipe <br />For�,.:,..r ��:.�_!...............�./...`:...:.................................................. <br />`G.S'...t..................... _...................... _....... Street <br />On ........:......................_.. <br />Lot... ............................ _........ .......... __....... Block No ......... ........... .._.......... <br />Addition....................................... _.._............................................................. <br />Remarks . <br />�r............................................................................. _.................. _.._.. <br />1. ............. G � r................................................ ................... ... ...... <br />....._-........................... - <br />�/ Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........ <br />Service Cock <br />Service Box <br />No. Hours Labor ....................................... _..... most ...................... _.._....................... <br />Cutin.................... Pavement ............... ... X ........................ ....................Sq. Ft. <br />.................. X............ ...... _... <br />.................... X........................ <br />Total ........................Sq. Ft. <br />OrderReceived .. ............................... ............................................... .......... N. <br />WorkCompleted............................................................................................ <br />Foreman <br />