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N. J. ran. J <br />CITY OF EVEREIT--Water Dept. <br />dd 6fAR 1 19F. <br />AppllWtton No..11.0.1' .. Date ......... ................19...... <br />// �inatall..............................loch water service pipe <br />For.. L ICL.�/..:.'................ . _..../ .. 1..................................... <br />...................... .................. Street <br />Lot................... _................................... .... Block No........ <br />Addition............................. ............. ...... -- ... ..... -------------- <br />Remarks <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />............ ........... ....... ...... _.._........ _..... <br />.».._...Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor ....................... <br />Cutin .................... Pavement .............. —X..... _......... ._.. .....................Sq. Ft. <br />x <br />............... ................. .__. <br />.._.......... ...... X....................... ., <br />....................... <br />Total .......................Sq. Ft. <br />Remark.................... ....................... ... ..._................. ...... .... ... <br />........................ <br />........................................................................................................................... <br />..................................................... ........ .... ............................... .............. _........... <br />OrderReceived........................................................ .... ............................. <br />lVork Comr:eted....................... __.... ...... .— .... ...... <br />Foreman <br />