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w. O. rOI1M ] <br />CITY OF EVEREIT--Water Dept. <br />Application No«l �..?3..... Date ........ /...Z 4 U.... ................19...( <br />Install........... f«......«......inch water service pipe <br />For ........ LW.✓... ....... <br />anu .... <br />cL 7 �,.5....Cc.......... <br />On ........i......... r. .�1.........................................«..:......«..«....... Street <br />_: <br />Lot........................................................Block No ............ «.............. <br />Addition _.._..,.:a. c..rl.. .� rl........la�i.a.rL..................... <br />JELL.L6..:.............. .......................... <br />...___ ............... <br />LABOR AND MATERIAL <br />.................� l...a."..:.1.: ... Lead Connection Complete <br />__.. r........; . , • I Saddle Complete <br />._.. '....tt........---;._,__........................ ..... .... .................. «....... Pipe <br />service Cock <br />- .__..._..... Service Box <br />N, Hours Lawr.......... ............... _.........._..«.Cost......._.............«_»......_.............. <br />Cutin ............ ........ Pavement ............... .«.X_..... ............... .......... .......... sq. Ft. <br />..... R......_._.......... <br />X......... ............. .. _........I........ <br />................... Total <br />e <br />.....................«........_..................................... <br />Remarks .............:.................. .. _ <br />.................................................................................................................... _ . <br />OrderReceived_.........................................._..._........................ <br />Work Completed ......................:. .. ..__._. . <br />...... ........�. nreman <br />