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� � -�, <br /> III <br /> � <br /> w. o. raqM <br /> � �-�-� � � �� � : 1 <br /> - - CITY UF EVERcTT--Water Dep�. � <br /> 9pplicalion No.::�..;`..:,..i:.._< Date......._......_�..._.._1..................19...::. - <br /> � /' Install._.. .......................inch water service pipe <br /> , ., <br /> Far t�....:,..��:::.r,::'..............:. _,�.::�.5:_:'.:...... <br /> _...................._.......:............. <br /> On / ' ."' � G' <br /> _ / ; ,j <br /> ........:..i.:.....:..�..........._:..�.:.::..i._r.S:.....L.:..:<..:.:...: .f.:.:.... Street <br /> .�. <br /> Lot.............................................................. Block No................................. <br /> ... <br /> .�d:iition ....................................../.....J..............................}......_.................... <br /> Remarks ..............................._...C....C. :- r--.'.,:-..:t...L.<:r.:.:.:--•--......... . <br /> ........................................................�---........................................................... <br /> ............................_........_........... ............................... <br /> � - ................._.. <br /> Superintendent <br /> i -----__———_----- -- —. <br /> I LAB02 AAD hfATGRIAL USED <br />. No. ' Size I <br /> --�- -----i----�- <br /> ' -- <br />�� ._........_.............._. ..........._..........I Lead Cor.nection Complet�: <br /> ........_.........................................._� Saddle Complete <br /> .......................f t............._........_... ......._._.....................................__...................P i p e <br /> ..................................................... Scrvice Cock <br /> ..................................................... Ser�ice Box <br /> ...................................................... ................................................................................................................ <br /> .�-....................... ................................................................................................................ <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement...................X......_--.............. ........................Sq.Ft. <br /> ............ ......X........................ „ <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br />� Total ........__............Sq.Ft. <br /> ------- -----------' <br /> -- --_ <br /> Pemarks.................................................... ....._-..........................................._ . <br /> .................................................................................... <br /> _..................................- .................................................. --............................. - <br /> OrderReceieed...................................................................................... ......_�` <br /> \b'ork Completed._.._ ...---_..._.._.._.... .._ __ ._ . <br /> _ _._.. ....._..._..._.._ ... .. <br /> Foreman <br />