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w. U. IOA l <br />CITY OF EVER E"IT Water Dept. <br />Application ivo_t !.a5./.. Date.......... <br />-..........................I9...l <br />n �s ill•• f ••• .•••••••.........inch water service pipe <br />S ......... ...... <br />On ......1...Q. .l?............. .Y..... ..... f�(%. ' <br />...treat <br />Lot.................................... .. Block No ......... ................ <br />Addition......................................................................................................... <br />Remarks .............. <br />..... ........... .. <br />........... <br />t <br />................................................... <br />.................. ..... ............................... ..................................... I..... <br />Superintendent <br />LABOR AND MATGRIAI- US.tiD <br />Size i <br />•••••^••--••»•• I Lead Connection Complete <br />Saddle Complete <br />......... ...... ...... ft. __........ I.............I _. _.. <br />Service Cock <br />Service Box <br />No. Hours Labor ..................... ___.......Coat_.»..»»_............._.._. .................. <br />Cut in....... .... ...._..Pevemcnt X............»._. ..... Sq. Ft. <br />X................... _... ......._.._. A <br />}: <br />- _X........................ <br />Total .....Sq. Ft. <br />.................. <br />Remarks............................................................................................................. <br />............................. ............. I.._ ................ ................................. <br />Order Received ....................... <br />Work Completed ................................................. <br />.............................. <br />Fore in <br />