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�.��G3 � ; ; � �f1 � `' '' - � ' <br /> t. �. nni[ <br /> M. D. rv ' <br /> CITY GF EVERE Water Dept. <br /> _s..--� �3a 3 <br /> , / <br /> Application No......._... _ ... .... Date....___.......... ..._`......�._._....__19.b.� <br /> �� <br /> � lnstalL........ �.........__ .inch wa;et setvicr, pipe <br /> � � <br /> For .........�5�.�.11.L .... . . .Jj�..� _ .. ..... . ............................. <br /> On ........._... .�_�--��(.�`.i:t'e�,-�S'.�,1��. ..... Street <br /> ........ <br /> Lot......._ . . __........ ._. .........-----_... Block No......._..._.----............._ <br /> Addition � . . <br /> ��+� � ., .�,,�,� <br /> RemarksIT'�'.�............_.............................................__..........._.._....... <br /> .........../ll t 1 i 1 f�..P....._....----............................................................... <br /> ................. . . ... ..._..._........................ <br /> �/ js ........ <br /> �........... . <br /> !.. ....�1......C,.. LJ.fq.a1 .....,.%.C...S.+...... .. .._.�a..... .. . . .. . <br /> , .......... ... <br /> _. .............. _....._.. 4 . :h°cti1..:._.. ... <br /> .................... .....:. <br /> � <br /> �pe tendent� . <br /> N� -�L�� � <br /> LABOR AND MATF.ftIAL IIBED � <br /> No. ' Size � <br /> ---- . _'- --------- - <br /> ...................................__..... �� :.cad Cnnneclion Com�lete <br /> ...._..................._........__....._...._.� Saddle Completc <br /> .._...................tt._.........:...._......... ..............._.......__....._............. .......................Pipe <br /> .._.................................................. 5ervice Cock <br /> ........................... _..............,......... Service Box <br /> tfo. Hours Lsbor..................._........._..............Cost..........................._........__... . . . <br /> Culin....................Pavement..............._._X........................ ...................... .Sq.F't. <br /> ....................R..................._... ................_..__ ,. <br /> ...................X......... .............. „ <br /> ......... .. <br /> . ..X.... .� <br /> ...._........... ........... ........ ........................ <br /> Total ......__._...._._..Sq.Ft. <br /> �--� — — — <br /> Remafksi............j�.............................................................._............._........._. . <br /> _......�.�..�'�..f...!�.r..r'.:..�.......'�...v.C�..`�..............._........................ <br /> .................................................._......---......_..........................._......_.._..___....... <br /> OrderReceived.................................................................................. ............ <br /> �Vork Completed................................................... ..................... ................. <br /> Foreman <br /> l <br />