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/S'`-�� : � � <br />w. O. fONM .. 1• . <br />_ - CITY OF EVERE3 T--Water De��t. <br />_ � � � t -. � ................is.�=, � <br />Application No_�,�� l.:-�_C:.. Date ................_+:....... <br />7nstall............j .............. ..inch water service pipe <br />C. � <br />_ - . .. <br />For ......(,._c.✓-..:.r..�:.:......:..r._._.�:..:.:j .................................................. <br />' ,, � •. �� < Street <br />On .........................:�:.:...........l...:..�..._:,.... <br />.: � .::................................ <br />. ,,, - ............ Block No ..................................... <br />Ad�iition <br />Remarks <br />� <br />........................................................._.__. Superin.endent <br />LABOR AND MATBRIAL USED <br />Lcad Connection Complele <br />Saddlc Complelc <br />,...._.....I Scrvice Cock <br />Service Box <br />...........................i .. <br />. ws� ...............................__..........--.... <br />No. Hours Labor......_...........__ ...................... <br />C�il in ..............._...Pavement....................X........................ ........................Sq.Ft. <br />....................X........................ ........................ <br />,� <br />....................F........_._ .......... ._..................... <br />�� <br />....................X........................ <br />........................ .� <br />Total ........................Sq. Fl. <br />__-._' <br />Remarks ............................................................................................................. <br />_ _ .......... .. ................................................ _......._................... <br />....................... ........................ .................................................................... <br />OrderRecei�ed .............................................................................................. <br />\Vm�k Completed._ ..........................._.._........._.............._........................._ <br />Foreman <br />