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w. :. .ow �S 73 � <br />�;ITY OF I'VERE CT--Water Dept. <br />:- r <br />Applic.�tion No.. �..::'.. �.:, �. Date.... ..._ �t...._ � ............. .........19. `... <br />> 1��11.... ..................... ... .inch water service pipc <br />For �.. �:.:.':.....�.... ' , . ............................ <br />....� ......:...:................._..._ .... <br />. �... <br />. ,� <br />� .......... Street <br />� <br />On.............:�...:.::.....:...��............_.li..,..:.......;<....:.. _..'.,_,... <br />Lot............................................................ BYck No..................................... <br />Addition ................................... ........................ <br />..../.: .. ... <br />............. _.. _ ...... ----.... <br />Remarks !,/(...r. .�.1....'...:. :.:::::............................. <br />_......_ ...................... ..... <br />_ /`�('.fL..ec�..._ ..........................�................._....................----............. <br />_ ._�.-..4.-.6.5._ ................................................................................ <br />_.... __.._..._ ............... _._ .... .................. _ <br />uuperintendent <br />LAROR AND Did9'ERIAL USED <br />l.o. 'i Sizc � -�------��-- — -- <br />__._..—._..--. —_____. <br />................_.........�..............._._..... ._ i Lcad Connectinn ComPlete <br />.. _ ................................._......._.__. <br />� :;addlc Cumpletc <br />......................St..................._...... I ..._. ._._..___...... _..........__....._......................Pine <br />` Scrvicc Cock <br />....... _ .................. ............ ....... _ ... - I <br />.__ ............... Scrvice IIux <br />_ ................_.........__...................................... ........... <br />. ..... ............ <br />......................... ........_......_...... -- <br />-- <br />No. Hours L�bor..._____.___..._._ ............... Cost.........._..._.._............................... <br />Cutin.....___ ..Pavement........__.......X ........................ ._.....................Sq.Ft. <br />................. X........................ ........................ <br />,� <br />.__.__......X ....................... ,� <br />... ........_...._........ <br />....._....._....X....._ ..............._ �� <br />Tntal .................._....Sq. Ft. <br />_----- ---� - - .. . <br />Remarks..___.._ .........................._................................................................. ... <br />..........._...__. __._....._ ..........................._.......................................... <br />.............................................................................................................................. <br />Order!?ecciced._.. _._. _ . 1 <br />16'nrk Cnmplcted . . __ .... <br />_ <br />Foreman <br />