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9t Q VFI[Of � 11• � �� w� <br />I/. D. YONH : � � <br />C TY OF EVER�:'�TT— `JUater Dept. <br />Application No...l...J..��.. Date ...................�=..`--��------.19�.'�?:"� <br />J� ' . <br />�install............y� .............�nch weter service pipe <br />For �yj ^�' G=c�! :. . .�_ c :: .� . ...................................... <br />- - � '-�/-� . ..... ......................................... ..... <br />Q c� - �„��.:�...�...�:. <br />On ............�...........�............� -- .......................•-•---•----.... Street <br />Lot.......... <br />Additiun <br />........._....... Block <br />............._................ <br />remarks �G rz<^ �.t� <br />........ .. .....-..........-• ----.... <br />�, , <br />LABOR ANU MATERIAI. USED <br />No. I Size I ._ <br />Lead Connection ComplMe <br />Saddlc Complete <br />Service Cuck <br />Scrvice Box <br />No. Hom�s Labor ..............................................l;ost......................._........................... <br />Cutin ...................Pavemrnt....................X......._............... ........................Sq. Ft. <br />....................X..............._....... �, <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />-------�--- <br />Remark,.. f � � :..:. ..: .........:.::......:....':.--.... ....................................................... <br />Order Peceived ................................. <br />�Dorl_ Completed....:...' ...............:..: <br />� <br />................Foreman �.\ <br />