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/%�/ � <br />W. D. fONM/�� � � _ <br />CITY OF EVERF.T�f--Water. Dept. <br />Application No.,/�5..�1� <br />Install...... <br />. <br />For �i�%rt�:�:.clr��..�:�, <br />Date........ <br />_ .inch water service nipe <br />_ - <br />On . ..........�../%3:. _..:--....�.1:..�.:':.l.l�f..._f l_��......... Street <br />. .. . <br />Lot....................... ....... .............................. Black No....5.. ........................... <br />:?ddition . ��.:zc::..�.<.�1:.�:....�.J�l::� ��,...._ ....................................... <br />Remarks ......................... <br />� ............ ....................._........... <br />��.:[.lfLf.�L.L.I....-'"....i�..r?7Y.�� ...............:LK<.G.tC......�m.r. _ ......_ <br />...... <br />. i � - ... . .............." <br />............................. " . <br />... .. .1.... " ' . , <br />a :. . . _ y �, i ..�.... _piGG_!.'�....�7Tj� ............................""'..... <br />- �{ � „ � � ......." <br />� _....��..� ................................. ' i <br />. ` � µ ..............7.ral �-......�"'.................................""'.... <br />�4i..� ./.�..........__.../ .............._.........""_............../5 c..L �! ' 'i�.....� <br />/ � l� r .�:....:..... �. <br />-..t�:.^...: `'__' <br />'-.�5 Y! . -Superintchdent � <br />------ /.-_. �%, �?.. . . _ <br />LABOR AND MATG�tIAL tiSED <br />� <br />����-��-���--�--- . i Lead Connection Complete <br />......................_.............................i Eaddle Complete <br />......................... .......... <br />..._._...._. <br />......... .... Sc.vic� Cock <br />.. <br />_._..._ ::............. Servicc Box <br />�To. Hours Labor ......................... <br />C�ri in............_.....Pavement_.... <br />...... .......................... <br />................................. <br />- ----... _ _ ............. <br />..x....._ ................ ........................sq. r•�. <br />x........................ ........................ .. <br />...x ....................... ....................... „ <br />.. .............x........................ „ <br />... .................... <br />Total ...................�Sq. Ft. <br />----�----=---- __------- —�—_. <br />---- <br />—__ <br />. e m a r k� ..............................:..........................: <br />......................................... .... <br />.. _ .............. _. ............ <br />Order Received ...............................:...... <br />_. <br />',lrork Completed ..........:.......... <br />......... <br />_ ...... .................................. - <br />..................... _...... _....� <br />................................ .. <br />Foremar. <br />