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�Ilf',;,, <br />� -/7/3�. � � <br />�, ., �. �- <br />w. o. ro.w a <br />CITY OF EVEREiT--Water Dept. <br />�-�� � <br />� - � <br />Application No.. �..,.....,2.1._... Date............t�.:.!..:: �::.5.. ..............19...... <br />lnstall ...............................inch water se�.vice pipe <br />For......................................................... -- . <br />=(.� L :.............�.�.':..,r 2�S:ir C;:!�.:�................ Street <br />On....................�......... <br />Lot.............................................................. Slock No............---•--................... <br />Ad�lition .......................................................................................................... <br />liemarks .... _ ............................................................... <br />, i............� .................. <br />.... <br />% : ��.1 .:...................................................................................... <br />..................... .. <br />LABOR ANu mn+��•�-� ---- <br />Lead Conneclion Complete <br />Saddle Complete <br />................. _ _ . <br />Scrvice Cock <br />Service Box <br />� <br />No. tlours L�bor .............................. <br />Cut in............_......Pavement.....-'-- <br />.................................... <br />........................59. Ft. <br />......._ .............. �� <br />...........__... <br />....................X........................ <br />........................ �� <br />Total ..._ ............. .....SQ. Ft. <br />... ..................................................... <br />Order Receieed....... <br />\Vork Completed... <br />i <br />���������Fareman � <br />