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CITY OF EVER-ET-T—Water D-ept, <br />Application No ... Date ?z <br />Install 3, ...............I <br />For ........ ........ . inch water service pipe <br />Instal] <br />... ... . .. <br />On....... . . .. ........ -1 ....................... <br />........ 7 <br />rZ ... Z2 . .. . .................. . .. .... Street <br />Lot.. W �-Lz ......... ** Block No........__._._. <br />Addition ........ <br />Remarks <br />LABOR AND MATERIAL USED <br />....... ........ Lead Connection Complete <br />Saddle Complete <br />.................... . ......... I . ...... . ...... ........ Pipe <br />Ser4fc6 Cock <br />Service Box <br />NO. Hours Labor . ................. Cost <br />Cutin ....................Pavement................... X ............... ........ ........................ Sq. Ft. <br />.................... X ... . .............. . ... ........ ............... <br />.................... X ............ ....... ... ....... ................ <br />. ......................... ....................... 11 <br />Total ........................Sq. Ft. <br />Order Received ............ ........ 11 ............ ........... <br />................................... <br />1York Completed.S...-212 ....�21 <br />............. ........................... L.k� .............. .. <br />Foreman <br />rn <br />