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C,JTY OF EVEREM-Water Dept. <br /> Application No.../.. Date........ ...l:.:G.. ...................19...... <br /> Install.............................-inch water service pipe <br /> Igor ...»............................................. _. .......i. ............................_ctreet <br /> On .................._......zV.._........`44...-..... .:....................._... <br /> Lot.................................................._....... Block No........_........._.......--- <br /> Addition ..................._.................... <br /> .....�....I..... <br /> Remarks _.........._..... <br /> ........... <br /> ..................................................._......_.._ <br /> SUL <br /> tendert <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> Lead Connection Complete <br /> ... ................... <br /> ......_............. Saddle Complete <br /> ......_......._................._. ...... .........Pipe <br /> .................. <br /> ..................... ...........». <br /> Service Cock <br /> ..................... Service Box <br /> ............_.._....».. . <br /> No. Hour& Labor..............._....._.._..__».._._.Cast................................. <br /> -SQ•Ft. <br /> Cut In........... .......Pavemcn ............»... <br /> ......._..........»... <br /> ....... ...........:{................0....... ......._....._ <br /> ,rotal .......................SQ.Ft. <br /> -_ - - <br /> . ............................. . <br /> . .. ............................ <br /> Remarks....................................... ..... <br /> . . .. . <br /> ................ . <br /> ............................ <br /> Order Received....... ............... M .. <br /> Foreman <br /> Work Completed_............. ................ <br />