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-, �.,...___.�. __ . <br />S J PueFe4M].ini� Q � ,� � <br />w.t� ���m� CI"i� OF .EVEREZT--Water Dept. <br />� , �i ,, � -� <br />, �/ <br />Applica:ion No.��..1_..�..a::: Date .:.....................:......._�_.........19:.....n <br />Install........l-r.��......�......._inch water service pipe <br />For ........ ........................................... ....--�--.... <br />, . j� ........................._................. <br />On .......1./.2....%....-._....3...�?....._--- ............................................ Street <br />Lot.............................................................. Block Nu...............................--�--- <br />Addition..............;.............................._.......................................................... <br />iicmarks ........_.L��::x:...L:-`--:._._.".::L�...r.. <br />..............�----.............................. <br />...:. :............. .............::.............................................. ...............................�---... <br />r ; _.-c.. . , � . .,�J <br />, , <br />..:......... ' .............:.... i.........---................................... _................... _.....-------.........--'--- <br />r.. � � , <br />_ ...................._ -._...... ............................-:..1.....:....�.....�....: +..:....:::...-s.-•.::--- <br />� , Superintendent <br />�.s � P f <br />LABOR AND MATERIAL USF.D�' <br />I� <br />Lead Connection Completc <br />Saddle Complete <br />.. _....... _ ................................ ...... ........... ._..Pipe <br />Scrvice Cock <br />Service Box <br />ho. FIours Labor ............................................ <br />Cut in ........_...Pavement...... . ....X.. <br />Remarlcs.._. <br />.. .................Sq. Ft. <br />........................ �� <br />...................--- ,� <br />....................X........................ ........................ .� <br />Totnl ........................Sq. Ft. <br />_ .. . .. . .. . .. . ........ ........ . ..... . .... .. - <br />.. ........ .` .................................. -.• -�-- <br />Order Received ....... ...... � <br />, <br />..... . .... ..........._ .. f .. . <br />� , ,` .�� +.. <br />.,- - � `......�:.z. <br />�. ork C.ompleted::...:..✓1.[._::.1.. t ............. ��--......_.........�.......... . . . . <br />Foreman 5. <br />\ <br />