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< J. Pn��he4M 7.�'�f/ t/ � T ' <br />V/. U. Fu�m D ' <br />CITY Or EVERLTT--Water Dept. <br />Application ATo..0 ..:..............' _Date....:..:..:_:..:'......::::......_...._.....19::...: <br />/ .............inch �vater service pipe <br />or ., Install:�..C........--' �, <br />y ' � � i :; , <br />...:......./... . ._YJ........._ . ....... ......_... .................................... <br />" ' ....J..... <br />..'.".:.._:::.:..._:i::� ................................. Street <br />Oii ._............<�.h..�:'. �_ �... , . <br />,.._ �, ` <br />...:.....::� .................. Elock No.......:::::...�;:'�--......... <br />L o t ..... ......: ..�........,.. . <br />Addition.......................................................................................................... <br />Remarlts............................................................. ...... � -� ............................. <br />� J ,,. <br />• .: : .,�:r. <br />-� � ................./ -..........................`._........._.._,/.:-...;...................-' <br />„ ., � <br />.. ..... //� <br />�r.c�:l..� .............!...................,.-. . �:......_-_; "'-. _:....'..... �.... -- -- <br />� l/ ._ Superintendent <br />�' � '" <br />LABOR ANll 3fAT13RIAL USED <br />ATo. I .. Size '-- <br />----- — <br />._ ..................................................� L�ad Connection Complete <br />� gaddle Completc <br />........._,+ ..............................._.......I - % , <br />' � -_ ..............t�r�!..G�..:l..:.:z:.._............_...._..._...Pipe <br />._......� e........_ft...........j . .. <br />�, : <br />.......................... _........................ 4 <br />. Serv�cc COik�� <br />...................... . <br />............--..._._...I Servicc I3ox <br />...........� ................................................................................ <br />iGo. Fours L:ibm• ..............................................i,osi.................................................... <br />Cutin .................._Pavement................._.X........................ ........................5�. Ft. <br />....................X........................ ........................ <br />�� <br />� .. �' "' .................._X.....__._............ ........................ „ <br />� . � . ....................R._..................... ._..................._ �, <br />Total ........................59. Fl. <br />- _-_--�-- ---- <br />iiemarks....................................................................... ._.... - -... --...._......_ ... <br />........................................ .............................................................. ... .. <br />.... .... ................ ... ................................. .................................. <br />........1...... . <br />Order fteceived ..... ..................................................._r :'-.........,-....... <br />... _ <br />, .) r'. .'.'..�.' ' . '" �r � <br />\^or'.: Cemple�e.d.. �..:.......; •......._ .:...:.:...::. - ......�:.- <br />_ ............... :. .. _... - . _._.. <br />• Foreman <br />