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/ � � 3 ��" � ' % <br /> 9. J. PPILO[�H PSl • / <br /> W. O. IOHM 'J <br /> ITY OF �VERE�T--Water Dept. _ , <br /> ' , 1 _ �. I :' :" .. . <br /> Applicatiop �Vo(:..!....:....:...`... 7�ate. :_.�'.......:......:....................19...... <br /> ��� .....inch wa}ec service pipe <br /> �y,�U��.� Install......:..:. <br /> � y��., ...._....._ - <br /> .� . . <br /> � �I,. • , , , <br /> , , � ..._..... <br /> �....:,.._ ....._.............._...................:...:....... . <br /> For ............: ...... �. .. <br /> ...... <br /> i. . . _...........:........_....... Street <br /> On ....................^... . <br /> ,. . <br /> .._.... <br /> Lot...................�:�_......_..__...._.......... <br /> Slock No.................................... <br /> Aadit;on ................... ............................................................................ <br /> ........... <br /> .................................................................... <br /> Remarks .._....._,.'.\ , ', ^ r . <br /> ..............� , , <br /> , . .. � {.. • <br /> ...................................................... <br /> ..._....�... <br /> ...........:......_........:.,................-- <br /> Q ' ' ' .-•-...... <br /> �. ., ................._............. <br /> i <br /> ....................._. <br /> _.. ... �22._C_G..�!-'.....�:....:. <br /> ....`l.;i_'............................................_...__ ....... ._..._.........._._.... . <br /> ..._...._[a:.......5................._......... . Su�erintendent ; <br /> ..... � <br /> , , � �. <br /> .) ._E.. ,� . .. . e r�, . �t '�' _ <br /> �, .�_ � . r . ' J <br /> LAAOR AND M1lA16RiAL US£D <br /> No. '� Size I __ _-- — � <br /> —_—_—_ <br /> Lcad Connection Complet� <br /> � I Saddle Complete <br /> ................ <br /> _....._..............._.......... <br /> .................. <br /> . ................................................ i <br /> .....ft.. ............ .................... <br /> ................. <br /> .............. � <br /> ............................ <br /> ..... ................... Scrvice l.ock <br /> ........ Service IIox <br /> _.._......_............ �.......��......_..�.......I _�...�.._�......�......�......._....._�...�...........�.._........_....._._.......__......�.._.�_�_�....... <br /> _... <br /> ... <br /> ......................... <br /> . . .. Cost................................................... <br /> No. Hours Labor......................................... ........................54.Ft., <br /> Cut in.....__.._....._Favcmcnt....:..............X......._............... <br /> ....................X..................._... ........................ <br /> �� <br /> .. ........................ <br /> �� <br /> .................... ...................... �� <br /> ...................X........................ ........................ <br /> Total ........................54.Ft. <br /> _--_..—__ . <br /> . ........................ <br /> ..:.:............................... <br /> ftemarks......_........._............................ ��� <br /> _......._........................................................ <br /> ......r......:....._...... <br /> _,........_................ <br /> ................................................................................. .: : <br /> Order P•eceived__...::...............:...._.,....................... <br /> ............. ........ .. <br /> � � . � :. . _...._. <br /> .__.........:.... .... ._. <br /> . <br /> \Vm'}_ C�t7tp;eted..�.........____.._ -_._...Porc� ian <br />