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,410 <br />CITY OF EVEREIT--Water Dept <br />Application No%: t`...�7 c:. /... Date..............J'... .....................19.....: <br />r Inst......._.. inch water service pipe <br />J,c. <br />For <br />j........................................... <br />(./�.L•.:+'.r..ti...._�.._....../. ..... ... <br />On .........T..�K.lz::ax'�:........................ _....... Street <br />Lot .........../BZ 0.... M..!. - :...1.. Block No ........... ... <br />_._.._......... <br />Addition......................................................................................................... <br />Remarks ............................. ......... .... <br />.._............_................_.. <br />...................................... Aw:��!> �.. j1............ _............ _ <br />......I .......... ............... ................ .- ............. _.......... ............ <br />''- '""""" "' Superintendent <br />LABILR AND MATIMAL USED <br />................._........ _............ _....... ,Pad Connection Complete <br />------.... <br />............ <br />............I Saddle Complete. <br />...........I Service Cock <br />Service Box <br />No, Hourr Labor ..._..............................I.._.._.Cost.._..»........_...._.._......_............... <br />Cutin .......... .......... Pavemrll.__............. .X.... .._.............. ....... _....... _...... SI.Ft. <br />.....-.............X......... I............. ........................ .. <br />.................... X.... ....... <br />.......... .. <br />Total .......................Sq. Ft. <br />.............................................................. <br />Order Received ............................................. .................... <br />.........._.................. <br />WorkCompleted..........................................................................Foreman... <br />