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��7 � <br />3yJ. PPIEB[ � + . , . <br />w. U. fORM ] <br />CITY OF EVERF.TT--Water D�pt. <br />,.. s � � . .. '. .. . _..._ . .. : iP.�' <br />Application No ............::..::..ti,.,/Dnt �:..::-... <br />�'y �% I�stall....'..,..:,.....1.........._ mchwaterserv�ce i c <br />: ......__...._._........._ ............ ..... . <br />I,; ......_.._.....--....__...._., �,... <br />........... <br />" � � � ' � -- ` .......... StieeL <br />On......._....:.." .....:..:.......:.............[.::................._................... <br />Lot.....................�........................_.......... Block No....:::.............................. <br />n,3�.Ltion .................._.........................._......................_........ <br />................... - <br />l�.cmarks ... -,........._ .............................................................................- <br />..... ... � <br />��. <br />........................... . '-......._�...... ................ <br />, . .............. . <br />. ,...... ....... - <br />__.._ .............. � <br />__ , <br />� . ,, . .................... <br />, . .4 ................ <br />. .. ---.. _..... ;.. � :............. _........ _.........:.............. T. . <br />................................................:..........--\ .........�I .._...:........ . . <br />.. _._ ......................... . <br />,. <br />. . ............................ ........................._..................... �.: Superin tendent <br />_ _.......... <br />� 7 . . <br />- - =:`--_� - — � - <br />I.ABOR AND MATERIAL USED __ <br />No. ' Size � - <br />-- <br />-- -- — <br />.._..._........I ... .................__...I <br />Lead Connection Complete <br />._........._......._.........'i Saddle Complete <br />Service Cock <br />Servicc Box <br />............................... .............. <br />V��. Hows LaUor .............._.......... <br />��ut in__.. . .. ___Pavcnr�t ..._. <br />P e�uarks........_. ......... <br />_.. Pipe <br />.............. _ _ _..... <br />...... ............................ <br />........................Sq. Ft. <br />........................ �� <br />.. _. _ .............X........................ ..........._........... <br />�� <br />_ _..._..........X..._ ................... <br />........................ �� <br />Tolal ........_ ..............Sq. Ft. <br />_...._.... ......_ ................................................ <br />.................................................................. � <br />................................................... . <br />Order F.ecciced ........................_.......... <br />....................................................... . .. / <br />' , .. . <br />l�or}: Complcted......_ ...................._....... <br />__.____.._...... <br />.... ..Foreman <br />6��2�:T� <br />