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w � <br /> L � h110[ ]M 1� � � ^ � <br /> W. O. IO�M ] � - � <br /> CITY OF EVEREIT--Water Dept. <br /> Application No....�.Y.......... . Date....._/..���....:�...........19J.� <br /> Install.._�j(,,..!�.,1/.;,^;....inch water service pipe <br /> �,a�- <br /> For ........................................'}................/�......................................... ........... <br /> On ........�.J.�...�.�.....�5.;�;c�c�G'a-���;� Street <br /> ......................................... <br /> Lot...................................................------.. Block No.....----......._......------•--- <br /> Addition ................. ........................................ <br /> .. . r . . <br /> ' � . .......::!::r..�::............ <br /> ........ ....................... <br /> Remarks ............. ... �'.�l...l�r..��cy... ........�'. <br /> .............. ...... :�_..• r,-.� `/�- ^ �% �� <br /> �.....................�.._............................Y............. ................. <br /> ....... .. . . . .. . .. ... . - / <br /> ......................................................................................--�- <br /> ` ................. .. . . . . . ... . . ��� ' ---- <br /> . .... . ... . .............. <br /> ................................ ...... . <br /> ��.G............... .................................. ' ' CLc^"-�� <br /> ....... ..........� ................------� <br /> ' 1 ti � Superinlendent <br /> a _ I� ,il.rC�–'/' I <br /> -.ABOR ANQ MATERIAL D <br /> No. Size � <br /> ............._....................................... Lcad (:onnection ComPlete <br /> ...................................................... �addle Complete <br /> ......................SL........................... ..............................._.......................................PiPe <br /> ...................................................... Service Cock <br /> ...................................................... Scrvicc Doz <br /> No. Hours Labor..............................................Cosl.................................................... <br /> Cut in....................Pavr^�cnL...............__X........................ <br /> ........................59.Ft. <br /> ....................X...................---• ,. <br /> ........................ <br /> ....................X..............._....... �� <br /> ....................... <br /> . ..................... ........................ ........................ <br /> �� <br /> Tolal ........................Sq.Ft. <br /> ---------------- <br /> Remarks............................................................................................................. <br /> ............ .`..................................................................................................... <br /> ' . .l_ —Z � — j L <br /> .....................::.....................................�.............................................................. <br /> OrderP,eccived....................,::......._................._..........._............................... <br /> �Vork Comp]eted....._......�.....:.:.......::...C..a.<.`..............._............................_. i <br /> • Foreman / <br />