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/to 3�" � <br />w. o. ro�w � � <br />{'__''/ J <br />CITY OF EVERE�T�=..Water Dept. <br />Application No.��,.,�.:'�....?t.. Date....... 1...:.%..... <br />................ ......19. (:� % <br />InsFa]].,......,.., inch water service pipe <br />For...............,_....................................................................................... <br />� , / . ... <br />� <br />n ...........:...: ��.� � � ._,. <br />............... Y.✓. .... .. <br />...i ...................................... Street <br />Lot .............................................................. Block No.................. <br />.9d�ition ................... <br />.... <br />............................................ ........................ <br />Remarks ._ ........................... <br />_ ........................ <br />............................ <br />......................... <br />_ Superintenden! <br />I,ABOR AND MATERIAL USED <br />N— oT ci, i — <br />.........I... � ..... ..... ... <br />� <br />L�ad ConnecHon Comp]ete <br />: �'ddle Completc <br />. ........................................... <br />•'�crvice Cock <br />Service Aox <br />............._ _...._.. _........... <br />....................................... <br />Pipe <br />................................. <br />. .--......._ ................. <br />.......... <br />o. Hocrs Labor .............................................Cost............................ <br />Cut in......._._.._._Pavemcnt_.......... ...................... <br />. .......X ........................ .......................Sq. Ft. <br />.......... .........X........................ <br />......._ ............... �� <br />........._. _.....X ....................... <br />.............. �� <br />................. .X....................... ......... <br />. .............. �� <br />_ ......... <br />`a��= Total <br />--���.� . ........Sq. 9t. <br />Remarks ....................._ — <br />.............................................................. <br />................. <br />.................................. <br />Order Receiced .............. <br />........................................ <br />1Vnrk Completed ................... <br />_.___._.. <br />� <br />_ I <br />_ .. <br />....Fareman <br />