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/ �� � <br />w. ��. rourn�v � ' . �� . �. . . . <br />. CITY OF EVERE?YI'--Water Dept. <br />%''� '' � � <br />Application No....,...'.....�..:/.: Date ..............:......_.........................7.9...... <br />Install..........il.�.�- ��/��� �)nc water service pipe <br />� / �... <br />f,71'...�_.L..Jl..1.�(/ ........ ....L..':.i � ' . -........ <br />/ ` :. . <br />� I - <br />, .� r � � j - � Street <br />On ' -/.._..._....,... ...:...............__.. .. <br />................�.....:...::...�........-- ...... .. . <br />Lot.............................................................. IIlock No.................................... <br />�ridition .................................. -...................._ .................. <br />... <br />.. �-� <br />, �.......__ .......................�--- <br />Rcmarks � <br />%:.i..::: ;.C..:. ..e......:.�_r.::........ <br />........................... . <br />.. - <br />_._ . ............................................. ...... <br />_ ..._.__ ...... ......................... <br />� <br />. . ................. <br />. _ _ .......... ............................. .................................................. SuPerintendent <br />L.1BOR AND MATERIAL L'SED <br />Si2c <br />r <br />.......... ...I '..ea9 Connection Complete <br />................ <br />� Snddle Cemplete <br />................ ................................................... <br />................ 5erv-ce Cock <br />................ Servicc Bux <br />No. Hours Labor ............. _........ <br />C�it in...___......__.Pavement..... <br />Pipc <br />....... .................................. <br />........................................ <br />. ........................................ <br />.................................. _ . ..... <br />..X ........................ ........ _.............S3.Ft. <br />..X. _. _. _ . ............. ...... _......... . .. <br />�� <br />..X ........................ ....................... <br />,� <br />..X ........................ ........................ .� <br />Total ........................Sq. F!. <br />= _-- <br />................. .... <br />........... ... <br />Rc r,�arks............ <br />...........................................................: <br />_........ _ .................. _.................................. <br />__ ...._. <br />......................................................................_..............._ ,� <br />Order Neceiced_ ................._._..........._..........._.......... ....:L,...................._. <br />,\ <br />.......--...: ,. ...._......_ _ <br />\�ork. Completed..._ ..............._....._...................... Foreman <br />