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w. o, row a <br />CITY OF EVERF.TI =-Water Dept. <br />Application Nff.(! .G..y... Date...... :rti::...t r 19.�y/ <br />........... . <br />lnsta ......inch wa'et service i <br />�- .._c�7........_: : pip <br />e <br />-K. ................ <br />On............................1.% .L.l......... ....... Street <br />Lot.............................................................. Block No .................... _.. <br />............. <br />Addition........................................................................................................ <br />Remar> o: ��y..(�� rc E/.......... ..:"r.. ................ --.................... <br />................................................. ..................................................................... <br />.....:F.................:: �� { <br />/ _.... <br />........-a .L C` c. <br />LABOR AND MATERIA USED <br />Lead Connection Complete <br />Saddle Complete <br />.............I Service Cock <br />Service Box <br />No. Hours Labor.............................................. cost ...................... ... _...................... <br />Cutin............. ....... Pavement ... _............... X........................ ....... _............... Sq. Ft. <br />.................... X........................ <br />................. .-X- <br />..........._.......A ........................ ........................ <br />Total ........................Sq. Ft. <br />------ ------ <br />Re m a rks.........:................................................. <br />OrderReceived............................................................................................... <br />Work Completed., ............. I .............................. .............. Fo . r . e . m . a . <br />n / <br />