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// �� � � <br />w. O. �GHXI] <br />.. CITY �JF EVERc'�`I'--Water Dept. <br />Applicatio�� No.-'�--....:i.:.:..,.' Dzle ................::'�......'..................19....:. <br />,7nsta1l._, ...::....................inch water service pipe <br />„ :, , <br />, <br />For ...._ ...:.:......._: ._....... /..... c,...:.;C..c:'...:�.:�.:.:r._�.:...........:..........,........... <br />� .. <br />On ..........��..::.<�:...::..._. ':/..41-...... � :� ..:.:.:........_. -�. � ..... Street <br />.... . ..�.:. <br />Lat........................................................ . Block No. � -............................... <br />h!ldition ........................... ......... <br />.................................................................. <br />R.cmarks ..._... ..... - ......._ ........... .. _ _ __..............,,............................. <br />-3 <br />..'L...l.:.i.:�..� ':'..d.:..�.d.F: " <br />i / <br />_ ......................._........ - -.............{... <br />..................... <br />............................................................................................................ . ....... <br />Sup�:rintendent <br />LABOR AND 111ATGRIAL USED <br />No. � Size I <br />__....._.... .. <br />I Lead Cnnnection Complete <br />..._ ............... Saddle Complete <br />.................... . ......................_.._ _............_...._....... <br />.................. Servicc Cock <br />................... Scr:ice Box <br />....................� ...................................................... <br />...._....Pipe <br />No. Hours L�bor ..............................................Cost................................................... <br />Cutin__......._..__Fa��c:ncnL ..................X........................ ........................Sq. Ft. <br />....................X....... .......... �� <br />........................ <br />....................X........................ ,� <br />... ..................... <br />....................X........................ �, <br />........................ <br />'lotal ........................Sq. Ft. <br />------- ---- -...----._ ._----- --.. <br />Pemarks............_..........._ ............................__........................_ .................... .. <br />Order Receieed ............................................. <br />\b'rn•k Completed....._...._._.......__........._..._ <br />.................. ....... . . . <br />................ ...._�........ <br />...................................::... <br />_. _ _ .......... ..... _..._... .. <br />Foreman <br />