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w. o. roqr.Ia �� O � <br />� � CITY OF EVEREiT--Water <br />Dept. <br />_. , - <br />Applicatir,n No..I...:Z..1c.:� Date ........................�.....................19...�..�. <br />J............. ....inch water service pipe <br />........:.............. / i <br />Foc ............... � ..:.�.._tc y a., :.........L.:�.:........,%t:;: �,.c:zs...................... <br />...... .... .. <br />�•� � . .J � �:, <br />On ' - � . % � '� ......L.�...::.t :,�c:C::r:.-!'-.� ........................ Street <br />Lut.............................................................. Block No...........................---.... -- <br />Adclilion.......................................................................................................... <br />Remarks .............................---;�.. ...................... .. . <br />.. . <br />. .. ........... ...... .. ...... ... <br />.' <br />_ .........................._.....................C......�.i..:.;.,.�.%�.. !..::1.�:............................... <br />No. i Size <br />...... _---... _ _ _.... <br />.. _... _ .. _. ........... <br />LABOR AND MATF.RIAL USED <br />... ............. <br />_ ..... ......... <br />Load Cnnncclion Completc <br />Saddle Complvte <br />.................................................... <br />Screi;e Cock <br />SCCViCC $o% <br />.. _ ................................. _.......... _. <br />Superintendent <br />ipr <br />No. Hom�s Labor ..............._........_.._...............Cosl.............................._.................... <br />Cutin._.._......._....Pavcment ....................X........................ ........................S9.Ft. <br />....................X---..................... �. <br />........................ <br />...................X........................ „ <br />........................ <br />....................X..._.._............... ,� <br />........................ <br />Total ....._ .............._Sq. Fl. <br />-- � '-- ---�-----�-- -- ---�-- <br />2emark�_...... _.... _ ................................................_..... _..... ............................ . <br />Order Hecciced_ .......................... <br />\Vork Cor.picted ........................ <br />..................................................... <br />_........_.._ ..................... ...... <br />Fore \n <br />� <br />