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0. 1 PPI[!t �N�l� � � � • <br /> W. 0. IORM ] <br /> CTTY OF EVEREZT--Water Dept. <br /> Applica'ion No....��7�:..... Dnte.........��..._-.........:.�.:.:.::._....19:r_< <br /> Install./.�<...`:..........;Snch w�ter service pipe <br /> � � /� ' ' . . ��� <br /> For • <<...:..... .. -r ; � � . <br /> . <br /> . ................_. ...... .. .............. .............................................. <br /> ' � , , � <br /> � �.�.........%:�.:. r.i i /� �, r L� `c-�....---... Street <br /> On ........�.............. ....._................._................ <br /> . � I <br /> Lol....................�.c�.---..................�.4.... Block No............--�--........._....... <br /> -- <br /> Addition ..............17.1......1.:�._:�:.?.r.....::::..`.e'..::.:.........---..................... <br /> Rrrnarks ..................................................................................._..................... <br /> _:........:........._...................-•--............................................................................... <br /> ,'. ..:..... /� �d...... <br /> .......:._. ...::....�...... ..................................................................................... <br /> . ..:... ' �� ... ..... �...�.......:....................._... <br /> 7 �,J . . <br /> . /� l � / <br /> ... �. ........................ ... <br /> �...`.. . ..... .......i.._/............................✓•I�....Y�......._�..��.:n...... . <br /> . .............. <br /> , i //�7 Superinlendent <br /> . � ��` �� <br /> LA60R AND MATERIAI. 03F.D <br /> No.---� Sia.e I ---------- <br /> .. ......._.........._�.........._........ I Lr.ad Cnnnecllon Compiete <br /> ................._........_............_............ Saddlc Cnmpletc <br /> '�......(t.. .::.(s...�...:..: ` ..............PiPc <br /> .......':................. ! .................................. <br /> ..............._ .. �- <br /> . - �' f::�............. Scrvicc Cocic <br /> ...........-.................... <br /> �....�!tit.SN�..__. Service IIox <br /> ....:..................... .._..................... ......_..................................................................._................................ .. <br /> ................__....,...�......................... ................................................................................................................. <br /> Nn. Hours i.aUor..............................................Cost.................................................... <br /> Cutin............... ..Pavement..._................X......._............... ........................SQ.Ft. <br /> ...................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ ........................ <br /> �� <br /> Total ........................Sq.Ft. <br /> _ ----- <br /> Rem arks............................................................................................................. <br /> ...................................................................................................................... <br /> .............................................. .......................................................................... <br /> OrderPeceived.._............... .. .................................................................... ` <br /> \4ork Completed.....,'.i._.:_._.:...:.....:_............_.. ..................._......._..._.._. <br /> Foreman <br />