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.. , ro�R:� I �I I V �� / 7�� ...� <br /> CITY OF EVERE�T.Water Dept. <br /> Application Nu�i.'_`.��.a�... Date....... ....�f_ � ! " <br /> ............................18..1 "� <br /> InstaJ'..............................inch water service pipe <br /> F��� . .��1... ...�,.: <br /> ..ti.,`.�.:..:............................ . <br /> , - . , <br /> , .......................... <br /> On ...... ...LL....�.............��Y�t.L.�i...�.._..................................... atreei <br /> Lot............................................................. Block Nn................ <br /> ..................... <br /> dition ._. ....._.... . <br /> ........................_ ....__...... ........ <br /> ............................ <br /> R�macks .......................... <br /> ..... . .............. <br /> . . <br /> ........ <br /> • _ _ ...... <br /> .. ................................ <br /> _..................._............. ..... 1.1,.�.�.L . . � <br /> ..... ...'�,. �t,...s.c�G.:. ...... <br /> . ........................... <br /> ...._....... ................ <br /> .... ......... <br /> � .................................... <br /> i� . ................__ ..................... <br /> '�3/u� ....r:�.at.�f..................................................... <br /> ! .................. ................. ...... <br /> ............................. <br /> ........................................................ . <br /> .... ._......................... <br /> — � -- JU Saperintendent <br /> �,� <br /> I.AROR k.ND MATERIAL US6D � <br /> Na-T_'iixe —' <br /> ------ "-- - <br /> --—�------ <br /> ������"�-��-�-•--�•-� Lead Connection f;ompiete <br /> .._......_.._.......... <br /> . ............� Saddk Compicte <br /> ................ ..........._...... <br /> ......_..............ft................. <br /> ........... . ...._................................................................Plpe <br /> ................................................... Service Cock <br /> ..__....................._.............._......... Servlee Hox <br /> --_-_ ............................................... <br /> No. Hours Labor........ '—"' <br /> . . .............................Coat............_................_................... <br /> Cul in.........._._.....F'cvement_.................X................._.... <br /> ........................Sq.Ft. <br /> ... _.............X.............._ „ <br /> ........ ........................ <br /> .......__.......Y......_............_ �� <br /> ........................ <br /> ..._......,....._X..__................ �� <br /> ................_...... <br /> � —�-a.�.z,.�.�-�_= Totul ......... ....Sq ^t <br /> - .......... ... .'��_ <br /> >-azmv�— .__ . <br /> Rer�:vks.... ....... ................ <br /> ................................... ......... . ....................... .._ . <br /> .................................................................. ........ <br /> ................................... ......................................... ....... <br /> Order Received............ ............................. . / <br /> _ .........................__.. <br /> ..... .. <br /> 11/ork Completed.__. ..__ _.. _. ___ _ <br /> __ _ <br /> Fbrnrnap <br />