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9-TT-Water Dept. <br />CITY OF EVER <br />Application Date ............ f) ........ / ................. .... <br />Install .......... p ........... ,inch water service pipe <br />�.t.41�4� .......................... <br />For ... .. <br />On........ ....... ................... ...... Street <br />T.nf ........................... . ....... Block No........_.........._......._...._ <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........................ <br />Service Cock <br />Service Box <br />No. Hours Labor ........................... .................. Cost ........................... . ...................... <br />Cutin ....................Pavement.................... X . ................ ..... ....................... Sq. Ft. <br />.................... X ........................ ....... . ............... <br />X............... .. ..... - - .... .. <br />Total .......................Sq. Ft. <br />Remarks..... ... ........... ................ . ... . ....... <br />...................... ............................... <br />Order Received..,....._...... .. . .... .... <br />Work Completed.........._ . ..... .. .... ... .... .. ........ Fo : ;\e�a-- <br />