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S J.V�{ebe{M-d67��/� � � y� / <br /> W.L.Porm] ' . . it�t,9' � �/ `�j � <br /> CiT� OF EVERFTI:.Water Dept. <br /> Application ro...�I,I�.J.... Dat .................. ..�1,,.,�. '�' <br /> .............. . �.ia...:1 <br /> �Install....�._..a.�.�y..::_...,�nch water service pipe <br /> - , <br /> �_, <br /> For ............ .,...,�..,.......:.:"Ai.aa..:z,,.:..:^ �1..4...'.�:::.:r��........ <br /> � �.:i, � ........... <br /> o„ ,�.c�...:�.. ._.._;::.;:.,..�_�:...::fi�.... <br /> ............... <br /> ........................... sereec <br /> Lot............................ ..................._�::........ Bluck No:.a�..�l:..:lJ..��x.:....��.1.3 <br /> Addition .....-' �� � . f : <br /> ,��..........................-..........._..'`_........................................ <br /> Remarks ........ / . f �_i^ . <br /> i <br /> �..............z.,:.........................c.:t...t.......::................. <br /> ..............................�....:............_..............1........_....:.l.!r..t�(.,,........................ <br /> ............................:................._�._t!......�c� -- <br /> ................:.:...: :...1�0_.::?�:.. �?..:.:..........._�.. ..................................... <br /> .. <br /> � -�--.......... <br /> , � . .... <br /> .................... . v..... _�........ � <br /> .... .........�. <br /> �J .�:-�.. .�...................... ..��.. �*- <br /> , �:._.....:' •-� <br /> ` '� ` ' �/`' ; superin,tei,ae�t <br /> \ _� � <br /> �,. � `Y.ABOR AND MATERIAL USED <br /> No. � Size <br /> ................................................. .� Lead Connection ComPlete <br /> .._........................._........./.....____. Saddle Com ]el <br /> ._.�.. . ft..........'7.�...._. CGt ... Ew:.".:................................Pipe <br /> �........ .... - <br /> ..................................................... Scrvicc c <br /> ...................................................._ Scrvice Hox , <br /> ............................... <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in.................._Yavement....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X....................... �� <br /> ........................ <br /> .. ..... ..X........................ �� <br /> ........................ <br /> . Tota] ..............._.......Sq.Ft. <br /> ----- ---- '__ �_ <br /> Remarks............................._. ....................... —_ _ <br /> .................................................. <br /> ..................... ._.................. .............................................._.........................._ <br /> ....................................................................................... .......................... . <br /> OrderReceived................. ...................................................._...........:........ �. <br /> ^ <br /> C;or}: Completed.J:i�....�.....' 1"0 - �' � . � .. _. ' <br /> ..........._.......:.i.'.....:......:......[.....:.:._,.'..k�....... <br /> Foreman <br />