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S 1.Pri�M�M7.1639nf7/��0� • . <br />w. u. p,.�. � <br />CITY OF EVERE7'T--Water Dept. <br />/f'��s � :- , <br />Application No.l .................... Date..<.���I.C�.:�..._1..... 19. `�% <br />/� ....r.... <br />�' Install ..............�.J_ ..............inch water service pipe <br />FOT...�I..T...l.K-..S.f�LA..�E..I .................................../.. ..........'""... <br />On ..._..���'l.l.f.i.:�:f.'�...".:�./��./7..!f.::.✓..f..'.cY........ Street <br />/ ... . <br />I.ot.......(p..i,1.I..�......�.�L....1.�i�Block Nn ..................................... <br />Additian........................... . ...... - �- - _ <br />Re narks <br />LABOR AND MATEItIAL UBED <br />I.ead Connectlon Complete <br />Snddle Complete <br />.... _ _ ................. <br />Gcrvlce Cock <br />Servicc Box <br />No. Hours Lebor ............................ <br />Cut in ....................:'avement......... <br />Superintendent <br />.............................Plpc <br />.......................Sq. Ft. <br />....................... .� <br />...................X........................ �. <br />........................ <br />�.:�.�Q,. _. <br />Total ........................Sq. Ft. <br />Rcrr.nrlcs ..................... ..................... .�.m...@.. <br />Order Rer,elved..._ <br />P1n�k Completed ......................................................................................... <br />Fereman <br />