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-- �---- <br />�%.3�� . �� <br />! . / _ .� . . <br />w. o: ro�w a <br />° ' CITY OF EVERE�T--Water Dept. <br />Application No_.:"I..::� �.: ;'-... Date..........= t..:.�....4.:..� ::............19...... <br />Install ...............................inch water service pipe <br />For.................................................................................................................. <br />'"�;'n i �.....'��,�.?:��;:t:-.. Street <br />.....y_Y....._1.�.,:.r:�..t.:�...:� �--- <br />On ..................../... ./' <br />, _. --.......... BTock No .............................--..... <br />Addilion .... <br />Remarks ;.� <br />/ �� — L S` .. 7�. ��(7'1' <br />LABOB AND MATERIAL USED <br />Lead Connectlon Complete <br />Saddie Comptete <br />................................................... <br />Service Cock <br />Service Box <br />................................................... <br />.......................... ........................ <br />................................................... <br />........................... ............... <br />..... <br />No. Hours Labor .............................................. � <br />, ........................59. Ft. <br />Cul�n ....................Pavement....................X........................ �� <br />....................X........................ ........................ <br />....................X.............. ......... ........................ <br />,� <br />.................... X.............. <br />.......... .... .................. .� <br />Total ........................Sq. Ft. <br />�=— --_�----_ _ -- <br />Remarks ...................................................................................... ........ <br />.............. <br />................................................................................................ ..... <br />Or3erReceiced ........................ ..................................................................... <br />_. <br />1Vork Complete .........................................._.............._..............Foreman <br />