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yw /`� ;' �i r� !- <br /> o. �. vqi[ec a�ir� Q 7� ` " <br /> W. C. fORM , � <br /> CITY OF EVEREI'I'--W'ater llept. <br /> Applicatiun No........1�,�•-3A Dat�e�. .j............_:�l..:.�': ........19:::�`j <br /> � Inst}�}1r....... ..�"J..Z.........inch�ater service pipe <br /> For � 2.. 1i i7C'� ,/,...� <: 7........... ...................... <br /> ..............r..................,.�............_ - ......:. <br /> ._ <br /> � / �7 - <br /> On ........._.�4�k:........`�z:........F...Gt::�C.t.'... ....�.:�.���...... Street <br /> � " <br /> Lot............................. �� . Block No........_�---..............._ <br /> �. .... .....�.... <br /> Addition rr.:t.!.. �.-�., c�.................... <br /> _....... . <br /> .. <br /> `� i <br /> �,�'�L f� � �.�............. <br /> Remarks .c?.v:....--• ---..L....._._�...L.�i..r.:c:................................ <br /> ........... <br /> ,t.-�.� r..r_.�li� �21.:Z;�`..L i_�.-..c_'.. <br /> � , .� <br /> .................................... .......:....................................�:. . ....." <br /> .............................................................................................................................. <br /> ��L' <br /> '7' '_'C f <br /> ................:.................�j......r.......,.............................. � �......_...�:.....:...- � <br /> : l. / y.��..�..�.:.�.. <br /> ..............__........,....:.::...:. ..... <br /> ............/lJ'"�'�-;:3���n�j�av� Superintendent ('_r�.i <br /> L-� �1 0 <br /> LADOR AND MATGRIAL USED <br /> N�. Size I _ — - - <br /> _—__.______.- <br /> ..._.......................................... <br /> _..... Lead Connection Cumplete <br /> . <br /> ................._ Saddlc Complete <br /> _.................._.._.. _ , <br /> ,S.tA_. ��'-- ._�._.^...1:...L.:...:._........._.................._............Pipc <br /> ....................... <br /> .................. � , , <br /> .........';L............. Scrv:cc Cock <br /> ......................f � <br /> _._..._.......__�:.......:a.u!.::�-.... Scrvice IIox <br /> ..................................................... <br /> � ......................................................................................_........................ <br /> ....................................................... <br /> No. Hours I.abor.............................................Cost......................._.._....................... <br /> Cutin........_...._..Pavement....................X......._............... ..._...................S9.Ft. <br /> ....................X...........__.......... ......._............... <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> .........X........................ ........................ �� <br /> .. Total ........................Sq.Ft. <br /> _ ___ <br /> _—_—__— <br /> , ............ <br /> T_temarks.................................................../_._:_.................................... <br /> . <br /> 4. �,',,, : :;,-�„ y /',�.�....f�.�..: ........... <br /> .............. ................................ <br /> _-.._............._..... . <br /> � . <br /> _........................................._.��.�.�.a...�....;._..ix�,:::..................._................... <br /> Ordcr Peccived <br /> ............................................. ..... <br /> \��urF: Completcd.......__... .._. " .___.._... ._. . .___ <br /> __............._....._. .. .. <br /> . .-Porem:m <br />