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� � �, <br />� �� � . <br />w. o. ro�w�a � �� � � � ^ <br />• CITY OF EVERE�f--Water Dept. <br />Application No..1...�J..=.:� f. Date ............._:?...:..�.._:.1::_i':.......19...... <br />Iastall ..............................inch water ser� �cu pipe <br />For ..........................ti...�............ ................................................... <br />.... ........ <br />, � ; <br />On .G.:..:....:.,�:�.....ti..1'::�:�.:::'G.�.<L:.......:.:.�:C..f.,:�.:' Streei <br />.................. �/ <br />r,.. _ - ................ B1ock No..................................... <br />Adaition ............................................................................ <br />......................... <br />Remarks....�...........ii ..................................................................................... <br />.. �.:.' c.��%C.� :........................................................................................ <br />.............. --- — <br />........................ ........................................... <br />................. - <br />�....;.,.<........' .................. ,� G ',�,_,:,t. <br />= �........... _" ............ . .......................: .. �: �:...........: �.. <br />.................................... � <br />Su� erintendent <br />/ - <. .a - % :2 . ..L'�'i�-� — <br />LASOR AND MATERSAL USED <br />I Lead Connection Complete <br />�.�............� Saddlc Complele <br />Service Cock <br />Service Box <br />No. How•s Labor .................... <br />Cut i� ....................Pevenicnt. <br />......Pipe <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />....................X........................ ....................... <br />Total ........................Sq. Ft. <br />--'- — <br />Remarks ............................................. <br />................................................................ <br />....... .................. ............................................................................. <br />.................... ........ - - <br />Order Received........... <br />Nork Compieted....... <br />.............._....... �.... �....... ��_.........Foreman �.. 1 <br />