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,. 1]f P. <br />CiiT'i OF EVEREYT-=WVa/ter Dept. <br />APPlication No._'7')_°-- Date---.:J_? ------Igaz�3 <br />Installinchwater service pipe <br />For ---- - £-- _�. �1 <br />On-- — -fig'- ���a`Q" -'�=------ - -- - .Street <br />Lot---------_--•--------- Block No.------- — --- ---------- <br />Addition ------------ --- --- --_ ------- <br />Remarks ------------------ ----------- <br />`�r�4:F--------- - <br />----- -- - - <br />tpefintendent <br />LABOR AND MATERIAL USED <br />NO �� = Lead Connection Gnupletc y h-t'�T'�' <br />Saddle Complete <br />---'1-�---ft. lI�• .... —.-...Pipe <br />•____, /____ _ Sc ice Ctwko <br />1 SmIce Box l • J <br />No. Hours Latwr._—. 8----------- _- .Cost- 's. ...... .. ....... <br />Cutsin....___.-_._.Pavement_. .-... %..- - .._ __.-Sq. Ft. <br />._. X - ._. -- -----.... . - <br />-. X-_-..-..-_. .. <br />. .. -Dotal. ._ --------- ' __Sq. Ft. <br />Remarks-- --;24-29L....Vf.4-5 <br />--------- -------- <br />Order Received -_--- — --------_---- <br />Work Completed <br /><��rffnan -- <br />