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S J. Pri�M�N T.161� � L J � • <br />W. D. Porm J . — ' <br />`CITY OF EVEREI'T--Water Dept. <br />Application No..J..�.�. Jr/ Date.. l.e,s,._• .!.;'...�:.S.i........19.�} <br />��� _In�tall....��l�..���...inch ydater service pipe <br />� . , <br />For ............ . .:::.I...: .�........_ ..1.......:--' . <br />.�...... <br />3 � �' l`l _��;,-,. - � , ' <br />o� ..................� ................... ................ <br />Lot._..�..�..._-..�..�......-....�.._y....... Block : <br />Addition.............. .........^../ ......_/........'........' <br />Femarks ..........t.r...ti:��........f...e...!. <br />Street <br />..r.-:;.�._e ..c..�r�.:.........�J..!...'•:..:.: ..r..�.. � .r ..............................__......... <br />- - . �: � .............._..._.................._......: <br />. (; �f.f-:� _ ...............�......T......., y,.�....-�----.,... <br />LABOR AND MATE6IAL <br />Lead Connection <br />S�ddlc Complete <br />,..._...I Scrvice �ock <br />Scrvice Box <br />No. tiours Labor ..............................................Cost............._............_...................... <br />Cutin.._......._......Pavement.........._........X ........................ .............._........��.FI. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />....................... <br />Total ...............__..... iq. Ft. <br />— — .--_ — ' <br />Remarks..._' :......._ ............. .._................................__................. --� - ......... <br />_.._...._ ................ - - ................................... . .......................................... ; <br />OrderReceived .......................................... . . ................... :..:..t:..l....... i , <br />�Vork Completed ....:.....:........:...:...:.......... ' ......,....1..:...................... <br />Foreman <br />