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9. .1- PRItPC ]M 1344 ! - � .- . <br /> w. o. roww a � <br /> CITY OF EVEREIT--Water Dept. <br /> .� . ,, y <br /> ' � ' � �. JUt� 1 1G61 <br /> Application No._.... .. _. _.. .... Date...................._-.. .....................19...... <br /> Iastall...............................inch water service pipe <br /> �Jl' ....,..../.......................7.... .....................�../...�.....-.......................................... <br /> On .....7:..�.��.......�L.�..C_..C.2L�...... l � . <br /> �'1......��t-.-`.-�:......... Street <br /> I.ot.............................................................. Block No............---...................... <br /> Addilion ..._..............._......--............................_............................................. <br /> lt��snrks .......................................................................................................... <br /> .................... ........................................................................................................ <br /> ........................................................................................_................................... <br /> .................................._............................---........--............................................--- <br /> _................................................................._......................._........_.........-----..... <br /> Superintendent <br /> LABOR ANU MATERIAL USF.D <br /> No. Size I <br /> ...........................�__�___.— <br /> � . . ._. _I Lcad Connection Completc <br /> ........................._I...�...._.......�.. _. Saddlc ComDletc <br /> _.................._ft...................... ..I .............._........_..................._.._......._.............Pipc <br /> ........................_............_........._...I Scrvice Cock <br /> ...................................._..........._... Scr�ice Box <br /> No. Huw�s Labor._........_.................................Cost............._..................._................ <br /> Cut ia........__.._._PavemenL......_._.......R_...................... ........................Sq.Ft. <br /> ....................X........................ „ <br /> ......._............... <br /> ._......._.__...X........................ .� <br /> .................._.... <br /> ....................X........................ ,� <br /> .._................_.. <br /> Total ._.........____....Sq.Fl. <br /> ---- �---�--------- —_ <br /> —. —_- <br /> P,e�narks..................................... _.................... ...... . ..._......._..........._......... <br /> _...... ...... .............................................. _ . ....._............... <br /> ........................................................ ......................._................. <br /> Order !teceiced._....................................... ......_._...___._. .... __..._ / <br /> \�'ock C�mplcted................_...... .... .._..... .. ._.......... _......_.. __........._ . <br /> Foreman <br /> 0 <br />