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�. o. rcua� ��� � . <br />�- - CITY OF EVER�37'„Warer <br />Dept. <br />Applicalion No./s��....e....,.'.�. Date ..............:�... <br />.. � .................... <br />. I7sta11...:...:. 1.9...:.. <br />�- - ,� , ��-���� �•�� .-.... .inch y�aier service pipe <br />Fer .�� ..:: f <br />..: r �.-.:./ C . -.:.... i .......... <br />On ��si� �; ,_ 1 �- ........... <br />... . ::.... �......4.:1:.:c.::.:_.......... . <br />J����•-•�- ��.... Street <br />i.ot .............................................................. Block No................................... . <br />:!cldition .......................................................................................................... <br />Remarks ..._ .............._ <br />... <br />, , <br />.... .................... �. � <br />...1.. ......:........... <br />__....__. - <br />_....._ ...................... ..._._.......... <br />................... ........ . <br />.... ................. <br />........................ <br />....................... <br />___ _ Superintendent <br />------ _------ <br />L.1ii0R ANA 11fATERGIL USED �_---- -- �� <br />---. No. � Sixe 1 <br />�� <br />-- ---i ....' _ __ <br />--- <br />..... ----- <br />....................!.._.. ........... I � Lead Connectlon Complete --- <br />.................................................._ Saddle Compl�_te <br />_.. _ _._............ft . ...........................I <br />_..... . ......._......... _........ _............ _ Pipc <br />...._ ............. . <br />...__........._ ..... .........._....... Service Cock <br />... _ ...................... <br />���-��-��--�-�������. Scr✓ice Box <br />.................................. <br />................................ <br />.—�__ ....................................... <br />— ---....._.........._.... <br />Nn. $ours Labor '�" <br />......_ ..........................._.... <br />Cut in.__........... ....Cost .............. <br />_.Favement ....................X......................_ . .................................... <br />........................Sq. Ft. <br />............. ......X........................ <br />........................ �� <br />. ..................X........................ <br />.........._. <br />_ _ ...............X........................ <br />=_--_—�_----- Total .._"�'._'� �� <br />--- <br />--` _ .........._............ q. Ft. <br />P.e�narks.. ___ _ <br />....................... ............ <br />_._........... <br />- .................................._............. <br />................................. ..................................................�........... <br />Order Received ............................................ <br />IVork Comp;eted......._ . ..............._.._.......... .......... -- <br />_._.. ..._._. <br />.... : _.. . <br />Foreman <br />