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w. o. ro�w a/��f�r ? 'j � iC ��`/ <br />� <br />� •CITY OF EVERE��T--Water Dept. <br />AppllcationNo...��:._'t-?./. Date........�.��_..� C...� <br />. ................. ........... t 9.. ' <br />Tn�tall ............................ .inch water service pipe <br />For........... ._ ...............: <br />............................... .. <br />, .................................. ........ <br />On �. ,1... •� .K[�o ' <br />........:...... _._......_S. <'''- i ...................._.................... Street <br />........:....... <br />Lot.......................................................... Block No.................................... <br />Addition ........... <br />.......................... ......... <br />........................................... <br />Ticrnarlcs .............. <br />... ...._ ... ................ ........................................................... <br />.............. ....... . ............ ...... .......................................................... <br />........ ..... ........... ........ ..................._......................................................... <br />. . .... .. .. . .. ........ .. .............................._ _............................................... <br />. ...........__ .._ ..................._.... .........................................................-- <br />Superintendent <br />�s' � I�Af3@f0 AND MATERI{AI, U3ED <br />--�'�'__ � � _-- — <br />No. _er. � <br />--- -- --- <br />e ---�� ------. _-_ . <br />........................ ...............-� Lcud Cn�nection Complere __— <br />._.._ ...................................... ....... ..adQle Compiete <br />...... ._............ft.l__ ..................... _....._.........................................................Pipe <br />...................... ...I.......................... Srrvice Cock <br />............................._....................... Scrvice Bux <br />...........................I ..................... _ . _ . <br />No. Hours Latxar ..............................................Cost................................................. <br />Cut in..._........._....Pavement........._.......?:. ... <br />....................... ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />................. ...... <br />....................X....... .............. . �, <br />.................. _ _ .. <br />�=s <br />Total .................. ....Sq. Fl. <br />---= <br />. emarks ................................................................ <br />............................. . <br />__......._ ...... ..........................__............... ................._............................... <br />..................... ....................................................................... .......................... <br />Urder Receiccd .......................__............_.... <br />_ ............ ...... ... .. _......... ... ... <br />\Vork Complc�ed..._...____.._ _ __ / <br />__.. _ _.. <br />_. <br />Pureman <br />