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w. o. ro�r a " ���� � <br />CITY OF EVERF..TT_. ' -' `',:, ' <br />Water Dept. <br />APPlica ion No.../�/- � . ' � <br />,-....�:... Date .........:::.:.:.-L�. <br />Tn s t a11 ................ .........................19.� �� <br />•�•�•�• ......inch water service ptpe <br />For ..... ...................... <br />� .................. .. <br />On ._...( y / _(;' -\ . .... •T .................................. <br />... <br />. <br />............i A!,• q c � �:.i,_�--1. ........... _ _... <br />� � ... Street <br />Lat ................. .......... . . . .. ............................. <br />............................................ Block No............ <br />Addition ........................ ................ . ......................... <br />............................. . <br />emarks ...... ............................. <br />_.. _ .............................................. - <br />.................... <br />...................................... ........ <br />Superintendent <br />LABOR AND —�� <br />MATERIqL USED <br />.............-..I Lcad ConnecUon Com <br />plete <br />.......-.....-I ��ddle Camplete <br />...... ........ � . _.............. . . <br />I . . . _ ...................... . <br />Scrvice Coc� . .......................Pipe <br />Service Box <br />__ ................ . _..._...__.... <br />� .................................... _................... <br />...._ . ................_I ._............ <br />— - .......................................... . <br />o. Hourc Labor........_ ........._..... <br />....................................Cos2......................... . <br />Cut in............_......Pavemrnt........ _......... <br />.. ........................ <br />X ........................ ........................Sc�. Ft. <br />.................... X........................ <br />......._ ............... .� <br />....................X................. . <br />. ..... ........................ „ <br />....................X........................ <br />....................... �� <br />s'�-��- -�-- Total —�� <br />Remar . � "- - F . <br />ks ............._ -z< Sq. t <br />........... <br />.. ............................................................................................. <br />Ordrr Heceived ............................................._......................._............._ <br />�V��rk Cnmpleted ........ <br />... _ _ _ . . <br />_ __.... __. <br />_. Fo� � <br />eman / <br />